Individual
KELLI LOVELACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2121 E 21ST ST, TULSA, OK 74114-1409
(918) 749-2261
Mailing address
PO BOX 52588, TULSA, OK 74152-0588
(918) 749-2261
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23483
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200124080A
—
OK
01
—
23483
MEDICAL LICENSE
OK
01
—
7255935
AETNA HMO
—
01
—
P00444180
RAILROAD MEDICARE
—
Enumeration date
02/06/2007
Last updated
04/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us