Individual
KAYLA LACHELE FELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W ELM ST, STILWELL, OK 74960-3417
(717) 965-6389
Mailing address
PO BOX 322, STILWELL, OK 74960-0322
(717) 965-6389
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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