Search › Oklahoma › 175T00000X
Kelly Hearn
NPI 1053080556 · on the registry since 2021
Practice
- Address
- 14625 Ne 23rd St
Choctaw, OK 73020 - Phone
- (405) 390-8131
- Organisation at this address
- Tri-City Youth & Family Center, Inc.
Tri-City Youth & Family Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma