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Individual

KELLY MARIE TIMBLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CF-SLP

Contact information

Practice address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 250-7093
(918) 250-9976
Mailing address
6805 E 112TH ST S, BIXBY, OK 74008-2063
(505) 681-7603

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4754
OK

Other

Enumeration date
09/06/2017
Last updated
09/06/2017
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