Kailey Rose Klonowski
Case Manager/Care Coordinator in Norman, OK. Individual provider (NPI-1).
NPI number1790259331
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1790259331
- Entity type
- Individual (NPI-1)
- Name
- Kailey Rose Klonowski
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2019
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Other names
- Kailey Rose Ericsson (Former Name)
Practice location
805 E Robinson StNorman, OK 73071-6610
Phone 405-788-0193
Mailing address
2328 N Pottenger AveShawnee, OK 74804-2500
Phone 405-788-0193
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