Individual
KAILEY LYNN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 W SAN ANTONIO ST, BROKEN ARROW, OK 74012-6127
(918) 417-8740
Mailing address
4800 W SAN ANTONIO ST, BROKEN ARROW, OK 74012-6127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF814
OK
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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