Individual
PATRICK KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-9868
Mailing address
6421 S 88TH EAST PL, TULSA, OK 74133-7625
(918) 249-9534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 3318
OK
Other
Enumeration date
02/28/2007
Last updated
10/14/2015
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