Individual
DANIEL RYAN SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 275-7100
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0133244
OK
Other
Enumeration date
01/01/2024
Last updated
01/03/2024
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