Ophus, Kellie Sue
Ophus, Kellie Sue is an individual health care provider with primary practice located at 19 W Interstate Pkwy , Shawnee OK 74804-1331. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ophus, Kellie Sue can be contacted via phone (405) 275-0675.Contact Information
Primary practice address
19 W Interstate Pkwy
Shawnee OK 74804-1331
Phone: (405) 275-0675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6292 | Oklahoma |
Profile Details
| NPI number | 1174819841 |
|---|---|
| LBN Legal business name | Ophus, Kellie Sue |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2011 |
| Last updated | Jun 21st, 2011 - about 15 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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