Individual
FAITH LOUISE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2309 1/2 N WALKER AVE APT 14, OKLAHOMA CITY, OK 73103-1559
(405) 315-9845
Mailing address
2309 1/2 N WALKER AVE APT 14, OKLAHOMA CITY, OK 73103-1559
(405) 315-9845
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
08/07/2019
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