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

Mr. Kelley Dwayne Farris Jr.

Individual provider Case Manager/Care Coordinator · NPI 1063240430

Mr. Kelley Dwayne Farris Jr. is a Case Manager/Care Coordinator in Tulsa, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2325 S Harvard Ave
Tulsa, OK 74114-3300
Phone: (918) 712-4301
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1063240430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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