Individual
JAMIE KIHEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
Mailing address
PO BOX 167, MARLAND, OK 74644-0167
(580) 716-9342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3253
OK
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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