Kelsey Lane Robertson

NPI #1366186678 in Chouteau, Oklahoma

Provider Information

NPI Number: 1366186678
Entity Type: Individual
Name: Kelsey Lane Robertson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 22, 2022
Last Updated: Apr 22, 2022

Practice Location

Address: 101 N MCCRACKEN ST
City: Chouteau
State: Oklahoma
ZIP Code: 74337-3219
Phone: (918) 576-8992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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