KELLEY KRISTEEN STAFFORD


Address: 10506 S Memorial Dr, Tulsa, OK 74133-6914
Phone: 9189431050

KELLEY KRISTEEN STAFFORD (NPI# 1235429556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235429556
Entity Type Individual
Full Name KELLEY KRISTEEN STAFFORD
Credential PA-C
Practice Address 10506 S Memorial Dr
Tulsa
OK 74133-6914
Mailing Address 6600 S Yale Ave
Suite 1400
Tulsa
OK 74136-3347
Practice Telephone 9189431050
Enumeration Date 2011-04-08
Last Update Date 2015-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1996 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLEY STAFFORD

NPI Name Taxonomy Address Enumeration
1487296083 Kelley Stafford Pharmacist 509 Biltmore Ave, Asheville, NC 28801-4601 2019-10-15

Office Location

Street Address 10506 S MEMORIAL DR
City TULSA
State OK
Zip Code 74133-6914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043296718 Joseph Coffman Family Medicine 10506 S Memorial Dr, Tulsa, OK 74133 2005-12-15
1619523511 Osu Center for Health Sciences Clinic/Center 10506 S Memorial Dr, Tulsa, OK 74133-6914 2019-08-15
1922424662 John Lukeman Pediatrics 10506 S Memorial Dr, Tulsa, OK 74133-6914 2014-03-05
1255673323 Nevin Scott White Family Medicine 10506 S Memorial Dr, Tulsa, OK 74133 2013-03-26
1407113780 Clayton Shane Howell Family Medicine 10506 S Memorial Dr, Tulsa, OK 74133-6914 2012-04-11
1861527509 Paul Dee Dautenhahn Personal Emergency Response Attendant 10506 S Memorial Dr, Tulsa, OK 74133-6914 2007-02-22
1629174321 James E. Burleson II Family Medicine 10506 S Memorial Dr, Tulsa, OK 74133-6914 2006-09-16
1023085503 William E Wilkins Jr. Internal Medicine 10506 S Memorial Dr, Tulsa, OK 74133-6914 2006-03-03
1780660522 Michele Coulter Family Medicine 10506 S Memorial Dr, Tulsa, OK 74133-6914 2005-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932725058 Economy Pharmacy Pharmacy 10120 E 91st, Tulsa, OK 74133 2020-06-24
1710539424 Fresenius Medical Care Tulsa, LLC Clinic/Center 9310 East 91st Street, Tulsa, OK 74133 2019-07-12
1003382060 Carefirst Pharmacy Tulsa, Inc. Pharmacy 6214 S. Sheridan Rd, Tulsa, OK 74133 2018-10-17
1003397332 Adekemi Taiwo Nurse Practitioner Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 2018-08-24
1346732013 Lauren Nichols Dentist 7707 E 111th St Ste 105, Tulsa, OK 74133 2018-05-30
1699264259 Courtney N Johnson, Pllc Dentist 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 2018-05-08
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1851800825 Seyva LLC Clinic/Center 8522 S 70th E Ave, Tulsa, OK 74133 2017-09-21
1477072031 Amanda Dawn Long Registered Nurse 10507 E 91st St Ste 310, Tulsa, OK 74133 2017-09-14
Find all providers in zip 74133

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720620487 Taehee Strauss Physician Assistant 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 2019-10-15
1871134163 Claire Anne Kifer Physician Assistant 155 E 29th Pl, Tulsa, OK 74114-5201 2019-10-08
1033750328 Jazmine Denise Nicole Manns Physician Assistant 9132 E 37th Ct, Tulsa, OK 74145-3415 2019-10-08
1295376523 Emily Montana Bergeron Physician Assistant 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 2019-10-08
1295376325 Reagan Hahn Physician Assistant 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 2019-09-30
1881245082 Miranda Hamilton Physician Assistant 3726 E 43rd St, Tulsa, OK 74135-2743 2019-09-27
1205487493 Christopher Thibeault Physician Assistant 10326 S Oswego Ave, Tulsa, OK 74137 2019-09-27
1831740018 Savannah Payne Physician Assistant 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 2019-09-27
1366093759 Garrett Blubaugh Physician Assistant 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 2019-09-26
1649821547 Madison Snow Physician Assistant 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 2019-09-23
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74133

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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