Individual
MS. DANA MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4690
Mailing address
2307 S GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
(405) 878-4690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0035369
OK
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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