Individual
LANA C KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
12905 E 96TH ST N, OWASSO, OK 74055-4719
(918) 928-2880
Mailing address
3385 ROY ORR BLVD, GRAND PRAIRIE, TX 75050-4208
(469) 426-6049
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
930
OK
Other
Enumeration date
10/15/2012
Last updated
02/24/2020
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