Individual
KENZY R CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
(405) 467-6100
Mailing address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
14434694
OK
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/25/2021
Last updated
09/11/2024
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