Individual
KELLYE DIANE KIMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW-SOCIAL WORKER
Contact information
Practice address
3700 W TECUMSEH RD APT 6114, NORMAN, OK 73072-1854
(405) 255-9544
Mailing address
3700 W TECUMSEH RD APT 6114, NORMAN, OK 73072-1854
(405) 255-9544
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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