Individual
HOLLIS CREG KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 660-3158
Mailing address
6934 E 9TH ST, TULSA, OK 74112-4606
(918) 740-1225
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
141883809
OK
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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