Search › Oklahoma › 171M00000X
Kellyn Lara
NPI 1306586672 · on the registry since 2022
Practice
- Address
- 2121 S 125th East Ave Ste 106
Tulsa, OK 74129 - Phone
- (918) 574-8442
- Fax
- (619) 374-7134
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 106S00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma