Individual
KELLY PIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2118 E 15TH ST, TULSA, OK 74104-4614
(918) 293-1287
Mailing address
2118 E 15TH ST, TULSA, OK 74104-4614
(918) 293-1287
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
92049
OK
Other
Enumeration date
12/17/2018
Last updated
05/03/2019
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