NPI Index

KIMBERLY KELLY-LORENZ

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1093127979

Practice Address

163 MOHAWK DR
Canadian, OK 74425

Phone: (918) 339-5800

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes -

Frequently Asked Questions

NPI 1093127979 is the National Provider Identifier for KIMBERLY KELLY-LORENZ, a Substance Abuse Rehabilitation Facility provider located in Canadian, OK. This NPI was enumerated on May 27, 2014.
KIMBERLY KELLY-LORENZ practices at 163 MOHAWK DR, Canadian, OK 74425.

Quick Facts

NPI
1093127979
Type
Individual
Enumerated
May 27, 2014
Last Updated
May 27, 2014

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