Reger, Kelsey Nicole

Reger, Kelsey Nicole is an individual health care provider with primary practice located at 6151 S Yale Ave # Levelb , Tulsa OK 74136-1907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Reger, Kelsey Nicole can be contacted via phone (918) 502-6097.

Contact Information

Primary practice address
6151 S Yale Ave # Levelb Tulsa OK 74136-1907
Phone: (918) 502-6097
Fax: (918) 502-6046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 6396 Oklahoma

Profile Details

NPI number 1396409991
LBN Legal business name Reger, Kelsey Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 26th, 2023 - about 2 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 1396409991 NPPES
Oklahoma MEDICAID 201021200A

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