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-- SARAH E KELLY -- PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1710979018
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
12455 E 100TH ST N STE 120, OWASSO, OK, 740554675
Phone
(918) 274-5510
Fax
(918) 274-5519

Specialties & Taxonomies

Physician Assistant Primary License: OK #1428

All Addresses

MAILING

1515 N HARVARD AVE STE E

TULSA, OK, 741154904

(918) 832-6049

LOCATION

12455 E 100TH ST N STE 120

OWASSO, OK, 740554675

(918) 274-5510