Provider Demographics
NPI:1972198018
Name:ROWLANDS, KELLI ANNE
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:ANNE
Last Name:ROWLANDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:ANNE
Other - Last Name:FRILOUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7608 E 91ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6014
Mailing Address - Country:US
Mailing Address - Phone:918-663-0606
Mailing Address - Fax:
Practice Address - Street 1:7738 N OWASSO EXPY
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-3338
Practice Address - Country:US
Practice Address - Phone:918-928-4255
Practice Address - Fax:918-928-4258
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5823235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist