Individual
KELLY SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
13301 PLAZA TER APT 162, OKLAHOMA CITY, OK 73120-2138
(405) 201-0158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20956-P
OK
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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