Organization
KILDARE PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE SHELLEY (SUPERINTENDENT)
(580) 761-7440
Entity
Organization
Contact information
Practice address
1265 CHURCH ST, PONCA CITY, OK 74604-7019
(580) 362-2811
Mailing address
1265 CHURCH ST, PONCA CITY, OK 74604-7019
(580) 362-2811
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
174400000X
Specialist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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