Individual
MS. KYLEIGH JANAI ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 E 95TH ST APT 117, TULSA, OK 74137-8708
(682) 500-0387
Mailing address
2929 E 95TH ST APT 117, TULSA, OK 74137-8708
(682) 500-0387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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