Individual
KHEELA AMOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 SE LEE BLVD, LAWTON, OK 73501-2409
(580) 350-6987
Mailing address
2 SE LEE BLVD, LAWTON, OK 73501-2409
(580) 350-6987
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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