Individual
KELLEY MARIE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
(918) 858-0290
Mailing address
2000 S WHEELING AVE STE 510, TULSA, OK 74104-5642
(918) 747-5200
(918) 858-0290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7770
OK
207RN0300X
Nephrology Physician
Primary
7770
OK
208D00000X
General Practice Physician
Primary
1265019863
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2021
Last updated
05/01/2026
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