Healthcare Provider Details

I. General information

NPI: 1912594995
Provider Name (Legal Business Name): KELSEY SCHONES APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date: 01/14/2021
Reactivation Date: 02/09/2021

III. Provider practice location address

1109 N GLENN ENGLISH ST
CORDELL OK
73632-2007
US

IV. Provider business mailing address

PO BOX 65
CANUTE OK
73626-0065
US

V. Phone/Fax

Practice location:
  • Phone: 580-832-2222
  • Fax: 580-832-2223
Mailing address:
  • Phone: 580-246-4314
  • Fax: 580-297-9775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number206994
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: