Kelley, Brenda

Kelley, Brenda is an individual health care provider with primary practice located at 1101 E Monroe Ave , Mcalester OK 74501-4815. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelley, Brenda can be contacted via phone (918) 426-7800.

Contact Information

Primary practice address
1101 E Monroe Ave Mcalester OK 74501-4815
Phone: (918) 426-7800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1235479288
LBN Legal business name Kelley, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Sep 4th, 2019 - about 7 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 1235479288 NPPES
Oklahoma MEDICAID 123547288

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