Individual
KIMBERLEY TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
14945 N 2105 RD, LONE WOLF, OK 73655-7700
(520) 423-7017
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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