Individual
KYLA SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W BROADWAY ST, ANADARKO, OK 73005-2421
(405) 247-2425
Mailing address
314 W KENTUCKY AVE, ANADARKO, OK 73005-4019
(405) 933-1787
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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