Individual
KAYLAN BROOKE PLEMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1800
(580) 306-0896
Mailing address
109 N PARK DR, BROKEN BOW, OK 74728-3961
(580) 306-0896
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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