Individual
MRS. KIMMI JO STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
9400 ST. ANN'S HOME, OKLAHOMA CITY, OK 73162
(405) 470-6953
(405) 470-6953
Mailing address
9400 ST. ANN'S HOME, OKLAHOMA CITY, OK 73162
(405) 470-6953
(405) 470-6953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2839
OK
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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