Moore Lackey, Mary Kelly

Moore Lackey, Mary Kelly is an individual health care provider with primary practice located at 3080 W 3Rd St , Elk City OK 73644-4323. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore Lackey, Mary Kelly can be contacted via phone (405) 424-7711.

Contact Information

Primary practice address
3080 W 3Rd St Elk City OK 73644-4323
Phone: (405) 424-7711
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1326200437
LBN Legal business name Moore Lackey, Mary Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Dec 7th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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