Individual
MICHELLE MCKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
351 N AIR DEPOT BLVD, SUITE M, MIDWEST CITY, OK 73110-1700
(405) 269-5678
Mailing address
351 N AIR DEPOT BLVD, SUITE M, MIDWEST CITY, OK 73110-1700
(405) 269-5678
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
02/05/2013
Last updated
02/25/2013
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