Individual
MRS. KIMBERLEY GAYLE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 SE WARWICK WAY, LAWTON, OK 73501-6368
(580) 248-6161
Mailing address
5028 SE REDBUD PL, LAWTON, OK 73501-8399
(580) 512-4139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2592
OK
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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