Individual
MCKENZIE JORDAN CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 NW 10TH ST, OKLAHOMA CITY, OK 73103-3902
(405) 815-7162
Mailing address
9004 S SHARTEL AVE APT 103, OKLAHOMA CITY, OK 73139-5103
(970) 692-9812
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
08/12/2024
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