Shuler, Kelly Lynette

Shuler, Kelly Lynette is an individual health care provider with primary practice located at 1305 E Taft Ave , Sapulpa OK 74066-6033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Shuler, Kelly Lynette can be contacted via phone (918) 224-8425.

Contact Information

Primary practice address
1305 E Taft Ave Sapulpa OK 74066-6033
Fax: (918) 224-8426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4611 Oklahoma

Profile Details

NPI number 1376542472
LBN Legal business name Shuler, Kelly Lynette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 20th, 2017 - about 8 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 1376542472 NPPES
Oklahoma MEDICAID 200214430A

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