Individual
KELBIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2220
Mailing address
PO BOX 902, WILBURTON, OK 74578-0902
(800) 275-8777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF102
OK
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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