| Kiley Ellegard, Pllc | |
|
14001 Mcauley Blvd Suite 240 Oklahoma City OK 73134-7004 | |
| (405) 229-9514 | |
| Not Available |
| Full Name | Kiley Ellegard, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14001 Mcauley Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kiley Ellegard (OWNER/CLINICIAN) |
| Authorized Official Contact | 4052299514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiley Ellegard, Pllc 14001 Mcauley Blvd Suite 240 Oklahoma City OK 73134-7004 Ph: () - | Kiley Ellegard, Pllc 14001 Mcauley Blvd Suite 240 Oklahoma City OK 73134-7004 Ph: (405) 229-9514 |
| NPI Number | 1528476967 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 08/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528476967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5259 (Oklahoma) | Primary |
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