Individual
KELLEY BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 NW 39TH ST, OKLAHOMA CITY, OK 73118-7120
(405) 570-5037
Mailing address
804 NW 39TH ST, OKLAHOMA CITY, OK 73118-7120
(405) 570-5037
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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