Individual
KELSY EITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 24TH AVE NW STE 110, NORMAN, OK 73069-6556
(918) 280-0090
Mailing address
1018 24TH AVE NW STE 110, NORMAN, OK 73069-6556
(918) 280-0090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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