Individual
SHELLY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3226
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79099
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200314980A
—
OK
Enumeration date
12/01/2010
Last updated
12/30/2020
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