Flesner, Kelly R

Flesner, Kelly R is an individual health care provider with primary practice located at 1265 S Utica Ave Suite 300, Tulsa OK 74104-4243. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Flesner, Kelly R can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243
Phone: (918) 592-0999
Fax: (918) 592-1021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 23753 Oklahoma
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 23753 Oklahoma

Profile Details

NPI number 1073584306
LBN Legal business name Flesner, Kelly R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 22nd, 2014 - about 12 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 1073584306 NPPES
Oklahoma MEDICAID 200023810A
Oklahoma Other P00251493
Oklahoma Other P00613407
Oklahoma Other OK700120

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