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Contact Information

KELLI A TRAVIS
701 S MAIN ST (BROKEN ARROW PUBLIC SCHOOLS-SPECIAL SERV
BROKEN ARROW, OK74012
 Phone: 918-259-5700
 Fax: 918-455-2588
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELLI A TRAVIS · (Female)

NPI # 1073939260
Status Active
Credentials
Entity Individual
Enumeration date 03/12/2014
Last updated 09/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 1592
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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