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Kaycie Nicole Landis

Specialist/Technologist, Athletic Trainer in Durant, OK. Individual provider (NPI-1).

NPI number1962058503
StatusActive
Last updated in NPPESAug 9, 2019

Details

NPI
1962058503
Entity type
Individual (NPI-1)
Name
Kaycie Nicole Landis
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2019
Last updated
Aug 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

425 W University Blvd
Durant, OK 74701-3347

Phone 580-745-2026 · Fax 580-745-7518

Mailing address

425 W University Blvd
Durant, OK 74701-3347

Phone 580-745-2026 · Fax 580-745-7518

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