Individual
MISS KATELYNN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 E US HIGHWAY 66, EL RENO, OK 73036-9225
(405) 262-0202
Mailing address
11305 GATESHEAD DR, OKLAHOMA CITY, OK 73170-3251
(405) 550-8457
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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