Individual
STACI KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRSS
Contact information
Practice address
107 GIBBS DR., NORMAN, OK 73071
(405) 360-5100
Mailing address
201 W DUFFY ST APT 201, NORMAN, OK 73069-5825
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
01/02/2025
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