Individual
KELLI ANN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
8803 S 101ST EAST AVE, TULSA, OK 74133-5726
(918) 579-3270
Mailing address
127 W 116TH ST, JENKS, OK 74037-3679
(918) 605-5242
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201707
OK
Other
Enumeration date
08/08/2021
Last updated
08/30/2021
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