Individual
KELLY J SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2203 N ASH ST, PONCA CITY, OK 74601-1108
(580) 762-8341
(580) 762-9967
Mailing address
2203 N ASH ST, PONCA CITY, OK 74601-1108
(580) 762-8341
(580) 762-9967
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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