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Individual

KELLIE LEANNE ROHWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-4768
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
(405) 608-3800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
75515
OK
363LA2200X
Adult Health Nurse Practitioner
Primary
75515
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200522180A
OK
Enumeration date
12/13/2013
Last updated
12/29/2020
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