Individual
KAYLEEN GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 406-3420
Mailing address
205 E 7TH ST, OWASSO, OK 74055-2241
(918) 616-4323
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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