Individual
KELBI LAYNE OGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Mailing address
8809 N 137TH EAST AVE, OWASSO, OK 74055-2060
(918) 319-0674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
08/06/2024
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