Most Relevant Information
Provider Data
| NPI Number: | 1003661034 |
| Provider Name: | KAILEIGH POGUE |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5631 |
Most Important Dates
| Enumeration Date: | 04/22/2024 |
| Last Updated: | 04/22/2024 |
Provider Practice Location
17110 E 51ST ST
BROKEN ARROW
OK
740129279
Practice Location Phone/Fax
| Phone: | 9183551596 |
| Fax: |
Provider Mailing Location
17509 E 43RD PL S
TULSA
OK
741346015
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |