Individual
KELSEY LANE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N MCCRACKEN ST, CHOUTEAU, OK 74337-3219
(918) 576-8992
(918) 825-1406
Mailing address
101 N MCCRACKEN ST, CHOUTEAU, OK 74337-3219
(918) 576-8992
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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