Individual
KELSEY RAE DAMRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18503 N PORTLAND AVE, EDMOND, OK 73012-9149
(405) 531-4271
(405) 531-4272
Mailing address
18503 N PORTLAND AVE, EDMOND, OK 73012-9149
(405) 531-4271
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39604
OK
Other
Enumeration date
03/29/2019
Last updated
01/15/2025
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