Individual
MS. KELLY LYNETTE SHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1305 E TAFT AVE, SAPULPA, OK 74066-6033
(918) 224-8425
(918) 224-8426
Mailing address
1305 E TAFT AVE, SAPULPA, OK 74066-6033
(918) 224-8425
(918) 224-8426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4611
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200214430A
—
OK
Enumeration date
07/20/2005
Last updated
01/20/2017
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