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Lisa Kelly

NPI 1669293262 · on the registry since 2024

Practice

Address
10257 N Bridgewater Cir
Owasso, OK 74055
Phone
(254) 368-7638

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-17

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