Individual
KELLY FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-AC
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4700
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
134932
OK
363LP0200X
Pediatric Nurse Practitioner
AP143522
TX
Other
Enumeration date
12/04/2019
Last updated
02/02/2020
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