Provider Demographics
NPI:1568015030
Name:MORGAN, KELBY NICOLE (BA, CMII)
Entity Type:Individual
Prefix:MRS
First Name:KELBY
Middle Name:NICOLE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BA, CMII
Other - Prefix:
Other - First Name:KELBY
Other - Middle Name:NICOLE
Other - Last Name:WARREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3445 S SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-1105
Mailing Address - Country:US
Mailing Address - Phone:918-610-3366
Mailing Address - Fax:918-610-3344
Practice Address - Street 1:3445 S SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1105
Practice Address - Country:US
Practice Address - Phone:918-610-3366
Practice Address - Fax:918-610-3344
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator