Organization
KILEY ELLEGARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ELLEGARD MA, LPC (OWNER/CLINICIAN)
(405) 229-9514
Entity
Organization
Contact information
Practice address
14001 MCAULEY BLVD, SUITE 240, OKLAHOMA CITY, OK 73134-7004
(405) 229-9514
Mailing address
14001 MCAULEY BLVD, SUITE 240, OKLAHOMA CITY, OK 73134-7004
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5259
OK
Other
Enumeration date
07/29/2014
Last updated
08/05/2014
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