IndividualActive
Carlissia Kelley
NPI 1730917642 · Case Manager/Care Coordinator · Vinita, OK
Provider details
- NPI number
- 1730917642
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
421 W South Ave
Vinita, OK 74301-4143
Phone: (918) 256-3131
Fax: (918) 256-8507
Approximate (ZIP-level) locationGet directions
Mailing address
421 W South Ave
Vinita, OK 74301-4143
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2024-07-23
- Certified
- 2024-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.