Individual
KYLEE WARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2000
Mailing address
5701 NW 110TH ST, OKLAHOMA CITY, OK 73162-5839
(405) 822-6918
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
739
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
739
OK
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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