Individual
KELLY KAEMPER GILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
801 N WASHINGTON ST, WEATHERFORD, OK 73096-4032
(580) 772-3993
(580) 774-1032
Mailing address
RR 1 BOX 57, BINGER, OK 73009-9731
(405) 643-2577
(405) 643-2577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
967
OK
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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