Kellie Ann Wilson | Tulsa, OK • PECOS Search

Kellie Ann Wilson

Social Worker

Behavioral Health & Social Service Providers

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

(918) 492-2554 (918) 949-0960

PECOS Enrollment

Based on the most recent information from CMS, provider Kellie Ann Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1396258562
Provider Type
Individual
Full Name
Wilson, Kellie Ann
Gender
Female

Sole Proprietor
No
Enumeration Date
11/10/2017
Last Updated
11/10/2017

Contact Information

Practice Location

7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743

Unlisted Fax

Mailing Location

11006 S James Ct, Jenks, OK 74037-1663

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer