Individual
MS. KELLY CAMILLE KINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4018 SE 11TH STREET, DEL CITY, OK 73115
(405) 245-4023
Mailing address
4018 SE 11TH ST, DEL CITY, OK 73115-2214
(405) 245-4023
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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