Individual
KAYCIE NICOLE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W UNIVERSITY BLVD, DURANT, OK 74701-3347
(580) 745-2026
(580) 745-7518
Mailing address
425 W UNIVERSITY BLVD, DURANT, OK 74701-3347
(580) 745-2026
(580) 745-7518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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