Individual
KELLEY BRONNELL BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5100 N BROOKLINE AVE STE 630, OKLAHOMA CITY, OK 73112-3634
(405) 285-2375
Mailing address
PO BOX 720520, OKLAHOMA CITY, OK 73172-0520
(405) 285-2375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
01/12/2026
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