Individual
KELLEY WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
610 W TRUCK BYPASS, DRUMRIGHT, OK 74030
(918) 509-0454
Mailing address
3037 S CINCINNATI AVE, TULSA, OK 74114-5224
(918) 857-1670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99829
OK
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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