Kellie Diane Gregory

NPI #1518478890 in Collinsville, Oklahoma

Provider Information

NPI Number: 1518478890
Entity Type: Individual
Name: Kellie Diane Gregory
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 13, 2017
Last Updated: Oct 13, 2017

Practice Location

Address: 13413 N 91ST EAST AVE
City: Collinsville
State: Oklahoma
ZIP Code: 74021-3969
Phone: (918) 955-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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