Individual
KAYLYNNE NICOLE CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 W 6TH AVE, STILLWATER, OK 74074-1017
(580) 336-8686
Mailing address
PO BOX 681, STILLWATER, OK 74076-0681
(580) 336-8686
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
OK
Enumeration date
03/07/2012
Last updated
03/07/2012
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