Individual
CHARLEY KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 QUINN RD, ARDMORE, OK 73401-8792
(580) 222-7985
Mailing address
29 QUINN RD, ARDMORE, OK 73401-8792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2209
OK
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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