Individual
MRS. JENNIFER WYNN PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 287-1175
(918) 287-0036
Mailing address
1400 SUNSET RD, PAWHUSKA, OK 74056-2486
(207) 299-2954
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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