Individual
KELLY FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCC
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5138
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5138
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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