Individual
KAYELEIGH KELLEY BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2002 N COUNCIL AVE, BLANCHARD, OK 73010-8038
(405) 485-4701
(405) 485-3747
Mailing address
2002 N COUNCIL AVE, BLANCHARD, OK 73010-8038
(405) 485-4701
(405) 485-3747
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32324
OK
Other
Enumeration date
05/18/2016
Last updated
03/19/2020
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