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Kelly Mccollum, MSOTR/L

NPI 1447783816 · on the registry since 2017

Practice

Address
7506 Covington Hollow Ln
Fort Wayne, IN 46804
Phone
(405) 919-8142

Additional practice sites

  • 124 E Sheridan Ave, Kingfisher, OK

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-20

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 Indiana