Individual provider · Type 1 NPI

Kaleigh Mae Mangrum

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1619356771 Active

Practice location

11740 E 21st St
Tulsa, OK 74129-1820

Call (918) 437-9495 Map

Fax (918) 560-1399

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619356771

Kaleigh Mae Mangrum's National Provider Identifier is 1619356771, issued on May 22, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on May 22, 2015.