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Individual

KELLI MCNEES-EIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1831 E 71ST ST, TULSA, OK 74136-3922
(866) 949-0108
Mailing address
40 S MAIN ST STE 1300, MEMPHIS, TN 38103-5513
(866) 949-0180

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109036
OK
363LF0000X
Family Nurse Practitioner
109036
OK

Other

Enumeration date
05/19/2015
Last updated
08/31/2021
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