Godfrey, Kelly B.
Godfrey, Kelly B. is an sole proprietor health care provider with primary practice located at 5110 S Yale Ave Ste 103, Tulsa OK 74135-7401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Godfrey, Kelly B. can be contacted via phone (918) 492-2386.Contact Information
Primary practice address
5110 S Yale Ave Ste 103
Tulsa OK 74135-7401
Phone: (918) 492-2386
Fax: (918) 645-8686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1464 | Oklahoma |
Profile Details
| NPI number | 1366554099 |
|---|---|
| LBN Legal business name | Godfrey, Kelly B. |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 4th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366554099 | NPPES |
| Oklahoma | MEDICAID | 200085750A |
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