Individual
MISS KELLY DIONE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528
Mailing address
5757 W HEFNER RD APT 1336, OKLAHOMA CITY, OK 73162-5812
(405) 202-3942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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