Individual
KELLY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6802 S OLYMPIA AVE STE 300, TULSA, OK 74132-1826
(918) 749-0762
(918) 744-4246
Mailing address
6802 S OLYMPIA AVE STE 300, TULSA, OK 74132-1826
(918) 749-0762
(918) 744-4246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
118006
OK
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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