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Kailee Renee Sullivan, APRN-CNP
Family Nurse Practitioner in Pauls Valley, Oklahoma
NPI 1902278609

Kailee Renee Sullivan is a Family Nurse Practitioner based in Ada, OK and is specialized in Family. Kailee Renee Sullivan practices in Pauls Valley, OK and has the professional credentials of APRN-CNP. The NPI Number for Kailee Renee Sullivan is 1902278609 and holds a License No. 103054 (Oklahoma).

The current practice location address for Kailee Renee Sullivan is 105 N Indian Meridian Rd, Pauls Valley, OK and can be reached out via phone at 405-207-9800.

Location: 105 N Indian Meridian Rd, Pauls Valley, OK, 74820-2847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902278609
Provider Name
Kailee Renee Sullivan
Credential
APRN-CNP
Provider Entity Type
Individual
Gender
Female
Address
105 N Indian Meridian Rd, Pauls Valley, OK, 74820-2847
Phone Number
405-207-9800
Fax Number
Provider Enumeration Date
10/21/2015
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
105 N Indian Meridian Rd
City
Pauls Valley
State
Oklahoma
Zip
73075-9236
Phone Number
405-207-9800
Fax Number
person
Provider Business Mailing Address Details
Address
105 N Indian Meridian Rd
City
Pauls Valley
State
Oklahoma
Zip
73075-9236
Phone Number
405-207-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
103054 (Oklahoma)
Definition
Definition to come...
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