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Individual

BRENDA KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
500 E ROBINSON ST, SUITE 300, NORMAN, OK 73071-6697
(405) 360-1119
(405) 360-7177
Mailing address
PO BOX 429, NORMAN, OK 73070-0429
(405) 360-1119
(405) 360-7177

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2507
OK

Other

Enumeration date
04/10/2015
Last updated
04/10/2015
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