Individual
MRS. KELLY MARIE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10462 S 82ND EAST AVE, TULSA, OK 74133-7089
(918) 364-5698
Mailing address
10462 S 82ND EAST AVE STE 107, TULSA, OK 74133-7090
(918) 364-5698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210924
OK
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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