Lisa Emily Kelly

NPI #1669293262 in Owasso, Oklahoma

Provider Information

NPI Number: 1669293262
Entity Type: Individual
Name: Lisa Emily Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Oct 17, 2024
Last Updated: Oct 17, 2024

Practice Location

Address: 10257 N BRIDGEWATER CIR
City: Owasso
State: Oklahoma
ZIP Code: 74055-7734
Phone: (254) 368-7638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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