Individual
MRS. KELLI AMANDA DOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
13600 E 86TH ST N STE 100, OWASSO, OK 74055-8732
(918) 272-9313
(918) 403-6311
Mailing address
1923 S UTICA AVE, GROUND FL, MEDICAL STAFF OFC, TULSA, OK 74104-6520
(918) 272-9313
(918) 403-6311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201362
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201018960A
—
OK
Enumeration date
02/24/2021
Last updated
01/22/2026
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