Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Sisco

Individual provider Pharmacist · NPI 1861007965

Kellie Sisco is a Pharmacist in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

4971 S Memorial Dr
Tulsa, OK 74145-6914
Phone: (918) 663-4578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 17632 (OK)

Record details

NPI number1861007965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020
Mailing address4971 S Memorial Dr, Tulsa, OK 74145-6914

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