Individual
ANGELA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23701 S 655 RD, GROVE, OK 74344-6317
(918) 787-6800
Mailing address
23701 S 655 RD, GROVE, OK 74344-6317
(918) 787-6800
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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