Individual
MRS. KELCI LAYNE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.F., M.S.-SLP
Contact information
Practice address
401 W TAMARACK RD, ALTUS, OK 73521-1529
(580) 482-7308
Mailing address
17284 E 1580 RD, HOLLIS, OK 73550-7504
(580) 318-3669
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#4445
OK
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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