Kellie Renee Swim, APRN | |
1500 E Downing St Ste 102, Tahlequah, OK 74464 | |
(918) 207-0773 | |
(918) 207-0774 |
Full Name | Kellie Renee Swim |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1500 E Downing St Ste 102, Tahlequah, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518378371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 74972 (Oklahoma) | Primary |
Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
Mailing Address | Practice Location Address |
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Kellie Renee Swim, APRN Po Box 751, Hulbert, OK 74441-0751 Ph: (918) 772-3390 | Kellie Renee Swim, APRN 1500 E Downing St Ste 102, Tahlequah, OK 74464 Ph: (918) 207-0773 |
Nancy Ellen Denton, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-316-6369 | |
Tina Marie Fort, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1504 N Cedar Ave, Tahlequah, OK 74464 Phone: 918-456-3456 Fax: 855-860-5341 | |
Kimberly Ann Watson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 | |
Libby Leininger Rogers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 N. Oak St, Tahlequah, OK 74464 Phone: 918-444-2126 Fax: 918-458-2300 | |
Dena J Lamons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Tracy L Ross, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1387 W 4th St, Tahlequah, OK 74464 Phone: 918-453-5554 Fax: 918-431-4112 | |
Florame Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Boone St Ste 1201, Tahlequah, OK 74464 Phone: 918-207-1189 |