Individual
KRISTY LEA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W DETROIT ST, SUITE 202, BROKEN ARROW, OK 74012-3630
(918) 806-0106
(918) 806-0113
Mailing address
2208 W DETROIT ST, SUITE 202, BROKEN ARROW, OK 74012-3630
(918) 806-0106
(918) 806-0113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2287
OK
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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