Swim, Kellie Renee

Swim, Kellie Renee is an individual health care provider with primary practice located at 1500 E Downing St Ste 102 , Tahlequah OK 74464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Swim, Kellie Renee can be contacted via phone (918) 207-0773.

Contact Information

Primary practice address
1500 E Downing St Ste 102 Tahlequah OK 74464
Phone: (918) 207-0773
Fax: (918) 207-0774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 74972 Oklahoma

Profile Details

NPI number 1518378371
LBN Legal business name Swim, Kellie Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated Jun 4th, 2019 - about 6 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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