Individual
MR. KELTON LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 N CLASSEN BLVD, SUITE 122, OKLAHOMA CITY, OK 73118-4627
(405) 877-4300
Mailing address
4801 N CLASSEN BLVD, SUITE 122, OKLAHOMA CITY, OK 73118-4627
(405) 877-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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