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

Prof. Carlissia Kelley

Individual provider Case Manager/Care Coordinator · NPI 1730917642

Prof. Carlissia Kelley is a Case Manager/Care Coordinator in Vinita, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

421 W South Ave
Vinita, OK 74301-4143
Phone: (918) 256-3131
Fax: (918) 256-8507
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 (OK)

Record details

NPI number1730917642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJune 9, 2024

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