Individual
KAYLA ANNE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
Mailing address
1004 W SILVER MEADOW DR, MIDWEST CITY, OK 73110-1339
(405) 881-8282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
11/13/2019
Last updated
10/23/2023
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