NPI 1093127979

Kimberly Ann Kelly-Lorenz

Practitioner Substance Abuse Rehabilitation Facility Canadian, OK

Practice location

Address: 163 Mohawk Dr, Canadian, OK 74425-9747
Phone: (918) 339-5800
Fax: (918) 339-5801

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Oklahoma →

Registry record

NPI: 1093127979
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2014
Record last updated: 27 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.