Individual
SHAYE LYNN KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
11912 S NANDINA ST, JENKS, OK 74037-4375
(918) 852-6348
Mailing address
11912 S NANDINA ST, JENKS, OK 74037-4375
(918) 852-6348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4719
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
10/06/2020
Last updated
10/06/2020
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