Individual
KELCIE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10323 S MEHAN RD, PERKINS, OK 74059-3693
(580) 370-1676
Mailing address
10323 S MEHAN RD, PERKINS, OK 74059-3693
(580) 370-1676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3700
OK
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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