Individual
KELLIE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8921 S MINGO RD, TULSA, OK 74133-5841
(918) 348-5128
(918) 577-3402
Mailing address
6716 S ELDER AVE, BROKEN ARROW, OK 74011-1863
(918) 231-8991
(918) 577-3402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
57926
OK
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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