Kellton D'andre De'wayne Hollins

NPI #1093558884 in Coalgate, Oklahoma

Provider Information

NPI Number
1093558884
Entity Type
Individual
Name
Kellton D'andre De'wayne Hollins
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jun 18, 2024
Last Updated
Jun 18, 2024

Practice Location

Address
6 E LAFAYETTE AVE
ZIP Code
74538-2676
Phone
(580) 927-3168

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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