Individual
MRS. KELLY WEATHERS HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
14 E AYERS ST, EDMOND, OK 73034-3667
(405) 513-8186
(800) 680-9132
Mailing address
14 E AYERS ST, EDMOND, OK 73034-3667
(405) 513-8186
(800) 680-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3156
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059840 A
—
OK
Enumeration date
10/05/2006
Last updated
02/04/2013
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