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Kimberly Kysar, M.S., CCC-SLP

Speech-Language Pathologist, in Guthrie, OK. Individual provider (NPI-1).

NPI number1245937101
StatusActive
Last updated in NPPESFeb 10, 2023

Details

NPI
1245937101
Entity type
Individual (NPI-1)
Name
Kimberly Kysar
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 10, 2023
Certification date
Feb 10, 2023
Last updated
Feb 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,2942OKYes

Practice location

11720 Silver Oak Ln
Guthrie, OK 73044-5030

Phone 405-315-3092

Mailing address

16216 Panther Way
Edmond, OK 73013-1734

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