Individual
MRS. KELLY DAWN KEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BHRS
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 272-0660
Mailing address
14001 E HIGHWAY 66, ARCADIA, OK 73007-7908
(405) 272-0660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
450-50-5-2
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620
—
OK
Enumeration date
04/25/2007
Last updated
01/11/2010
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