KELLY L PEREZ APRN NPI 1174181036

NPI Information

NPI: 1174181036
Provider Name: KELLY L PEREZ, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: INTEGRIS AMBULATORY CARE CORPORATION

PECOS Registration: Yes

Address:
13920 QUAILBROOK DR
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 848-8884
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Kelly L Perez, APRN is a family nurse practitioner in Oklahoma City, OK with 5 years of experience. Kelly L Perez, APRN NPI is 1174181036. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13920 QUAILBROOK DR
OKLAHOMA CITY, OK
ZIP 73134-718
Phone: (405) 848-8884
Fax: (405) 713-4656

The NPI 1174181036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 9/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	105235	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A080154544	OTHER	OKLAHOMA	OKLAHOMA DRIVERS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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