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Lisa Emily Kelly

Registered Nurse in Owasso, OK. Individual provider (NPI-1).

NPI number1669293262
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1669293262
Entity type
Individual (NPI-1)
Name
Lisa Emily Kelly
Sex
Female
Sole proprietor
No
Enumeration date
Oct 17, 2024
Certification date
Oct 17, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseR0097954OKYes

Practice location

10257 N Bridgewater Cir
Owasso, OK 74055-7734

Phone 254-368-7638

Mailing address

10257 N Bridgewater Cir
Owasso, OK 74055-7734

Phone 254-368-7638

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