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Individual

KELLLI HOLMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4219 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 644-5297
(405) 644-5390
Mailing address
12005 MOON BEAM DR, OKLAHOMA CITY, OK 73162-1057
(405) 722-4599

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2113
OK

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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