Healthcare Provider Details

I. General information

NPI: 1700706140
Provider Name (Legal Business Name): KELSEY GARNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6161 S YALE AVE
TULSA OK
74136-1902
US

IV. Provider business mailing address

8912 E 95TH ST
TULSA OK
74133-5629
US

V. Phone/Fax

Practice location:
  • Phone: 918-502-2544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number19831
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: