Individual
KELLY LAWSON HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5801 E 41ST ST STE 900, TULSA, OK 74135-5631
(918) 747-4975
(918) 743-8552
Mailing address
PO BOX 4930, TULSA, OK 74159-0930
(918) 747-4975
(918) 743-8552
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2017012255
MO
2085R0202X
Diagnostic Radiology Physician
Primary
33422
OK
390200000X
Student in an Organized Health Care Education/Training Program
TL-4416
CO
Other
Enumeration date
07/05/2012
Last updated
07/13/2022
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