Provider Demographics
NPI:1295009819
Name:SEAY, KERRY LEON
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:LEON
Last Name:SEAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4827
Mailing Address - Country:US
Mailing Address - Phone:405-413-2048
Mailing Address - Fax:
Practice Address - Street 1:2237 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:THE VILLAGE
Practice Address - State:OK
Practice Address - Zip Code:73120-4827
Practice Address - Country:US
Practice Address - Phone:405-413-2048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst