Kelly Marie Sample

NPI #1750078507 in Bixby, Oklahoma

Provider Information

NPI Number
1750078507
Entity Type
Individual
Name
Kelly Marie Sample
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 21, 2023
Last Updated
Apr 21, 2023

Practice Location

Address
5981 E 148TH PL S
City
Bixby
ZIP Code
74008-4249
Phone
(918) 752-5826

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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