Individual
KAYLIN A PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 395-3821
(405) 395-3983
Mailing address
3315 KETHLEY RD, SHAWNEE, OK 74804-9638
(405) 395-3821
(405) 395-3983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5412
OK
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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