Individual
KAYSI DON EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
110 TAFT DR, CHICKASHA, OK 73018-6740
(405) 816-0192
Mailing address
110 TAFT DR # C, CHICKASHA, OK 73018-6740
(405) 222-4671
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2113
OK
Other
Enumeration date
05/20/2008
Last updated
02/18/2009
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