| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLIE JEAN NORRIS | 1518584374 | 2020-06-28 |
Kellie Jean Norris is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518584374. Registration indicates Kellie Jean Norris is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Kellie Jean Norris |
| Practice Office Address | 6161 S YALE AVE TULSA, OK US |
| Practice Office Telephone | 9189143827 |
| Mailing Address | 6161 S YALE AVE TULSA, OK 741361902 US |
| Business Telephone | 9189143827 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 121491
OK |