Davis, Kelly Lynn

Davis, Kelly Lynn is an sole proprietor health care provider with primary practice located at 18247 W Running Springs Rd , Park Hill OK 74451-2017. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Davis, Kelly Lynn can be contacted via phone (918) 441-6337.

Contact Information

Primary practice address
18247 W Running Springs Rd Park Hill OK 74451-2017
Phone: (918) 441-6337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1346501202
LBN Legal business name Davis, Kelly Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346501202 NPPES
Oklahoma MEDICAID 200305190B

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