Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LEWIS, RN
Active Sole ProprietorKELLY LEWIS, RN is a Substance Abuse Psychiatric Nurse healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1437987492 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1437987492
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2024 (2.090132285325 yrs)
- Last Updated
- Jul 22, 2024
- License
-
R0122687 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 S MUSKOGEE AVETAHLEQUAH, OK, 744644717Browse OK providers · Browse ZIP 74464
- Phone
- 9182070078
- Fax
- 9182070558
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.