Individual
KAYLA R CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3201
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3737
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
738
OK
Other
Enumeration date
01/30/2017
Last updated
09/04/2020
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