Individual
KELLI JO CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN, MUSKOGEE, OK 74401-4431
(918) 682-8470
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
211630
OK
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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