Individual
DESTINEE NICOLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 TINKER DIAGONAL APT 73, OKLAHOMA CITY, OK 73115-3959
(405) 826-3199
Mailing address
4625 TINKER DIAGONAL APT 73, OKLAHOMA CITY, OK 73115-3959
(405) 826-3199
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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