Individual
MRS. KELSEY MICHELLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8418 N 123RD EAST AVE, OWASSO, OK 74055-2139
(918) 858-4353
(866) 246-2942
Mailing address
1400 E 380 RD, TALALA, OK 74080-3833
(918) 520-6527
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4634
OK
Other
Enumeration date
10/25/2021
Last updated
08/18/2025
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