Individual
KAYLA ROSS-CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NW 104TH ST, OKLAHOMA CITY, OK 73114-5529
(602) 558-5671
Mailing address
912 NW 104TH ST, OKLAHOMA CITY, OK 73114-5529
(602) 558-5671
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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