Kelley, Kaella R

Kelley, Kaella R is an individual health care provider with primary practice located at 2225 N Union St. , Ponca City OK 74601-1536. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Kelley, Kaella R can be contacted via phone (580) 308-5515.

Contact Information

Primary practice address
2225 N Union St. Ponca City OK 74601-1536
Phone: (580) 308-5515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X N084074652 Oklahoma

Profile Details

NPI number 1306448113
LBN Legal business name Kelley, Kaella R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2020
Last updated Jan 22nd, 2021 - about 3 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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