IndividualActive
Kelly Lewis, RN
NPI 1437987492 · Adult Psychiatric/Mental Health Registered Nurse · Tahlequah, OK
Provider details
- NPI number
- 1437987492
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- R0122687 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone: (918) 207-0078
Fax: (918) 207-0558
Approximate (ZIP-level) locationGet directions
Mailing address
711 S Muskogee Ave
Tahlequah, OK 74464-4717
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.