Individual
KATHY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
215 W LINN ST, NORMAN, OK 73069-5837
(405) 321-0022
Mailing address
6013 NW 48TH ST, WARR ACRES, OK 73122-4008
(405) 922-4488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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