Individual
KELLY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 E SKELLY DR STE 102, TULSA, OK 74105-6241
(918) 382-7300
Mailing address
PO BOX 760, OKMULGEE, OK 74447-0760
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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