KELLY NIX

MOORE, OK
NPI1699132126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OK  61421)
Enumeration Date2016-01-28
Last Update Date2016-01-29
Business Address
-- KELLY NIX RN, BS, CCM
400 N BROADWAY ST
MOORE, OK 73160-4812
Phone number: 405-735-4650
Mailing Address
-- KELLY NIX RN, BS, CCM
400 N BROADWAY ST
MOORE, OK 73160-4812
Phone number: 405-735-4650