Dennis, Kelly M

Dennis, Kelly M is an individual health care provider with primary practice located at 1205 Health Center Pkwy Suite 240B, Yukon OK 73099-6396. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dennis, Kelly M can be contacted via phone (405) 717-5496.

Contact Information

Primary practice address
1205 Health Center Pkwy Suite 240B Yukon OK 73099-6396
Phone: (405) 717-5496
Fax: (405) 717-5320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1406 Oklahoma

Profile Details

NPI number 1386770246
LBN Legal business name Dennis, Kelly M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jun 26th, 2017 - about 9 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 1386770246 NPPES
Oklahoma MEDICAID 200051880A

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