Individual
KENDAL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 NW 6TH STREET, OKLAHOMA CITY, OK 73106
(405) 605-8282
Mailing address
1017 NW 6TH STREET, OKLAHOMA CITY, OK 73106
(405) 605-8282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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