Individual
MS. KELLI M UDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3133 SW 65TH PL, OKLAHOMA CITY, OK 73159-2201
(405) 549-8282
Mailing address
3133 SW 65TH PL, OKLAHOMA CITY, OK 73159-2201
(405) 549-8282
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1191
STUDENT LOAN
OK
Enumeration date
07/03/2012
Last updated
07/03/2012
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