Individual
KELLI GIBLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8643
Mailing address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42069
OK
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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