Scott, Kelley Virginia

Scott, Kelley Virginia is an individual health care provider with primary practice located at 1007 S Peoria Ave , Tulsa OK 74120-4495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Scott, Kelley Virginia can be contacted via phone (918) 587-1101.

Contact Information

Primary practice address
1007 S Peoria Ave Tulsa OK 74120-4495
Phone: (918) 587-1101
Fax: (918) 587-0589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 364SW0102X 87451 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 87451 Oklahoma

Profile Details

NPI number 1720256266
LBN Legal business name Scott, Kelley Virginia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Dec 30th, 2013 - about 11 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 1720256266 NPPES
Oklahoma MEDICAID 200132800A

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