Individual
KELLI ANN ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2403 W WRANGLER BLVD STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4940
Mailing address
7800 NW 85TH TER STE 200, OKLAHOMA CITY, OK 73132-3385
(405) 972-7239
(405) 753-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86110
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0086110
LICENSE
OK
Enumeration date
08/20/2008
Last updated
02/22/2017
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