Individual
KYSHAUNNA KELECIA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRSS
Contact information
Practice address
10326 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7643
(405) 759-3860
(405) 378-2468
Mailing address
10326 GREENBRIAR PKWY, OKLAHOMA CITY, OK 73159-7643
(405) 759-3860
(405) 379-2468
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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