Individual
KELLY CHANCELLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8500
(918) 434-1914
Mailing address
827 N 443, SALINA, OK 74365-2086
(918) 434-8500
(918) 434-1914
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/20/2016
Last updated
10/19/2016
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