Healthcare Provider Details

I. General information

NPI: 1720995806
Provider Name (Legal Business Name): CALLIE J REE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CALLIE J REE-CORBETT CORBETT

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 5TH ST
PAWNEE OK
74058-2548
US

IV. Provider business mailing address

1602 4TH ST
PAWNEE OK
74058-5008
US

V. Phone/Fax

Practice location:
  • Phone: 918-762-3643
  • Fax:
Mailing address:
  • Phone: 918-694-7547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number202522
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: