DR. Kellie Dawn Vantuyl, D.O.

NPI #1821376138 in Coweta, Oklahoma

Provider Information

NPI Number: 1821376138
Entity Type: Individual
Name: DR. Kellie Dawn Vantuyl, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Aug 3, 2011
Last Updated: Mar 20, 2024

Practice Location

Address: 30011 E STATE HIGHWAY 51
City: Coweta
State: Oklahoma
ZIP Code: 74429-7681
Phone: (918) 486-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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