Individual
KAELEE LYNN PARENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2713 NW 56TH ST, OKLAHOMA CITY, OK 73112-7051
(480) 689-3361
Mailing address
2713 NW 56TH ST, OKLAHOMA CITY, OK 73112-7051
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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