Individual
KELSEY JOY GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
949 E TAFT AVE, SAPULPA, OK 74066-5728
(918) 224-6079
Mailing address
6050 S YALE AVE # 101, TULSA, OK 74135-7412
(918) 615-9605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
02/15/2022
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