Individual
KELLEY VIRGINIA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1007 S PEORIA AVE, TULSA, OK 74120-4495
(918) 587-1101
(918) 587-0589
Mailing address
1171 7TH ST, DES MOINES, IA 50314-2505
(515) 280-7004
(515) 280-9525
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
87451
OK
364SW0102X
Women's Health Clinical Nurse Specialist
87451
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132800A
—
OK
Enumeration date
02/19/2008
Last updated
12/30/2013
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