KATELYN ADMIRE

GROVE, OK
NPI1528684388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  4398)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-06-17
Last Update Date2024-10-18
Business Address
KATELYN ADMIRE P.A.C.
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-786-2243
Mailing Address
KATELYN ADMIRE P.A.C.
17142 S 4480 RD
BLUEJACKET, OK 74333-4582
Phone number: 757-621-0249