KELLIE RENEE SWIM

TAHLEQUAH, OK
NPI1518378371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OK  74972)
Enumeration Date2014-05-14
Last Update Date2019-06-04
Business Address
KELLIE RENEE SWIM APRN
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464
Phone number: 918-207-0773
Mailing Address
KELLIE RENEE SWIM APRN
PO BOX 751
HULBERT, OK 74441-0751
Phone number: 918-772-3390
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