Willis, Kelli
Willis, Kelli is an individual health care provider with primary practice located at 109 N Fairland St , Pryor OK 74361-4205. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Willis, Kelli can be contacted via phone (918) 825-1405.Contact Information
Primary practice address
109 N Fairland St
Pryor OK 74361-4205
Phone: (918) 825-1405
Fax: (918) 825-1406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | NONE |
Profile Details
| NPI number | 1760682439 |
|---|---|
| LBN Legal business name | Willis, Kelli |
| Credentials | BS, CMII, RSS, CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Apr 26th, 2022 - 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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