KELSIE M. WILLARD – NPI #1689436420
Peer Specialist

KELSIE WILLARD is a peer specialist located in TULSA, OK. NPPES recently assigned the NPI number 1689436420 to KELSIE WILLARD on January 26, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for KELSIE WILLARD below.

NPI Profile for
KELSIE M. WILLARD

NPI Number
1689436420
Created

(about 5 weeks ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELSIE M. WILLARD
Primary location
1608 S ELWOOD AVE
TULSA, OK 74119-4208
Phone: (918) 587-3888 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.