Search › Oklahoma › 101YP2500X
Kelly Wallace, M. ED
NPI 1124675749 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2817 Stonebrook Rd
Edmond, OK 73003 - Phone
- (214) 600-3503
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-27
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