Search › Oklahoma › Case Manager/Care Coordinator
Carlissia Kelley
NPI 1730917642 · on the registry since 2024 · sole proprietor
Practice
- Address
- 421 W South Ave
Vinita, OK 74301 - Phone
- (918) 256-3131
- Fax
- (918) 256-8507
- Organisation at this address
- Edna Lee'S, Inc.
Edna Lee'S Residential CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-23
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