Individual
SARAH E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12455 E 100TH ST N STE 120, OWASSO, OK 74055-4675
(918) 274-5510
(918) 274-5519
Mailing address
1515 N HARVARD AVE STE E, TULSA, OK 74115-4904
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1428
OK
Other
Enumeration date
08/22/2005
Last updated
12/11/2012
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