Individual
MISS KELLY ANNE VEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 N BROADWAY AVE, SHAWNEE, OK 74801-5051
(405) 777-8033
Mailing address
1404 N BROADWAY AVE, SHAWNEE, OK 74801-5051
(405) 777-8033
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
07/09/2020
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