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Individual

LOAHN KELLEY GALLEGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5915 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73142-2021
(405) 773-6470
(405) 773-6463
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 773-6470
(405) 773-6463

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29222
OK
390200000X
Student in an Organized Health Care Education/Training Program
29222
OK

Other

Enumeration date
05/23/2012
Last updated
03/15/2018
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