Individual
KELLI HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Mailing address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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