Individual
MRS. KELLYANN TARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Mailing address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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