Individual
KELLI LEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 WESTCHESTER DR, OKLAHOMA CITY, OK 73120-1127
(405) 424-7711
Mailing address
1700 WESTCHESTER DR, OKLAHOMA CITY, OK 73120-1127
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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