Individual
KALAH BALLANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 E 35TH ST, TULSA, OK 74135-4528
(918) 759-8107
Mailing address
3805 N 252 RD, MOUNDS, OK 74047-5919
(918) 759-8107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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