Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1528494390 |
---|---|
Provider Name | Nelly Kabiri |
First Address | Oklahoma City, OK 73159-7640 |
Second Address | Oklahoma City, OK 73159-7640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2013 |
Last Update Date | 24/09/2013 |