Individual
KENESHIA DAWN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3507 E ADMIRAL PL, TULSA, OK 74115-8211
(918) 834-4194
(918) 834-4189
Mailing address
3507 E ADMIRAL PL, TULSA, OK 74115-8211
(918) 834-4194
(918) 834-4189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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