Individual
KELSEY JO DOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(918) 864-3019
Mailing address
777 E 15TH ST APT 335, EDMOND, OK 73013-5018
(918) 864-3019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
742
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
742
OK
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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