Sample, Kelly Marie

Sample, Kelly Marie is an individual health care provider with primary practice located at 5981 E 148Th Pl S , Bixby OK 74008-4249. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sample, Kelly Marie can be contacted via phone (918) 752-5826.

Contact Information

Primary practice address
5981 E 148Th Pl S Bixby OK 74008-4249
Phone: (918) 752-5826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750078507
LBN Legal business name Sample, Kelly Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2023
Last updated Apr 21st, 2023 - about 3 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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