Individual
KELLEY YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3300
Mailing address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
62851
OK
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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