Individual
KAELYN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 236-4000
Mailing address
5301 E 31ST STREET, TULSA, OK 74135
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7006
OK
Other
Enumeration date
04/04/2019
Last updated
11/07/2023
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