person
Ms. Kelly Patricia Long, APRN,CPNP
Pediatric Nurse Practitioner in Grove, Oklahoma
NPI 1447551817

Kelly Patricia Long is a Pediatric Nurse Practitioner based in Oklahoma City, OK and is specialized in Pediatrics. Kelly Patricia Long practices in Grove, OK and has the professional credentials of APRN,CPNP. The NPI Number for Kelly Patricia Long is 1447551817 and holds a License No. 61374 (Oklahoma).

The current practice location address for Kelly Patricia Long is 900 E 13Th St, Grove, OK and can be reached out via phone at 918-786-9900 and via fax at 918-786-9904.

Location: 900 E 13Th St, Grove, OK, 73112-5556
person
Provider Profile Details
NPI Number
1447551817
Provider Name
Kelly Patricia Long
Credential
APRN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
900 E 13Th St, Grove, OK, 73112-5556
Phone Number
918-786-9900
Fax Number
918-786-9904
Provider Enumeration Date
11/16/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200311440A 05 OK
200505990H 05 OK
institution
Provider Business Practice Location Address Details
Address
900 E 13Th St
City
State
Zip
74344-2975
Phone Number
918-786-9900
Fax Number
918-786-9904
person
Provider Business Mailing Address Details
Address
900 E 13Th St
City
State
Zip
74344-2975
Phone Number
918-786-9900
Fax Number
918-786-9904
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
61374 (Oklahoma)
Definition
Definition to come...
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