Cory, Kelly A

Cory, Kelly A is an individual health care provider with primary practice located at 1400 Se 4Th St Ste A , Moore OK 73160-7328. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cory, Kelly A can be contacted via phone (405) 837-1033.

Contact Information

Primary practice address
1400 Se 4Th St Ste A Moore OK 73160-7328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1619604998
LBN Legal business name Cory, Kelly A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2022
Last updated Aug 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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