Most Relevant Information
Provider Data
| NPI Number: | 1003532144 |
| Provider Name: | KAYLEE MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/19/2022 |
| Last Updated: | 09/23/2024 |
Provider Practice Location
1200 CHILDRENS AVE
OKLAHOMA CITY
OK
731044637
Practice Location Phone/Fax
| Phone: | 4052715437 |
| Fax: |
Provider Mailing Location
413 WOODHOLLOW TRL
EDMOND
OK
730124435
Provider Mailing Phone/Fax
| Phone: | 4053483951 |
| Fax: |