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Individual

KELI LAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5624 S VENTURA DR, OKLAHOMA CITY, OK 73135-5477
(405) 863-1526
Mailing address
5624 S VENTURA DR, OKLAHOMA CITY, OK 73135-5477
(405) 863-1526

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
22
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063943920
VA NUMBER
OK
Enumeration date
09/02/2015
Last updated
09/02/2015
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  • EDI platform