Individual
STEPHANIE L KILLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 S 2ND ST # 1014, STILWELL, OK 74960-4806
(918) 696-6212
Mailing address
463021 E 777 RD, STILWELL, OK 74960-4538
(918) 340-9096
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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