Individual
MRS. KAYLEE DAWN TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3330 NW 56TH ST, OKLAHOMA CITY, OK 73112-4479
(405) 604-0688
Mailing address
3125 NW 184TH TER, EDMOND, OK 73012-7681
(405) 448-0092
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
126582
OK
363LF0000X
Family Nurse Practitioner
Primary
201098
OK
Other
Enumeration date
01/05/2021
Last updated
03/02/2021
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