Provider Demographics
NPI:1235385766
Name:DYER, KELLI HERLIHY (DO)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:HERLIHY
Last Name:DYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:KELLI
Other - Middle Name:LYNN
Other - Last Name:HERLIHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6600 S YALE AVE STE 1200
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3333
Mailing Address - Country:US
Mailing Address - Phone:918-488-6653
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:6465 S YALE AVE STE 301
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7823
Practice Address - Country:US
Practice Address - Phone:918-502-3500
Practice Address - Fax:918-502-3505
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017831207W00000X
OK5477207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology