Stephanie Marie Killian, RN, BSN

Individual provider Active NPI School Registered Nurse · Seminole, OK

NPI 1245040062 · NPPES record last updated Jan 13, 2025

Key facts

NPI
1245040062
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R0137233 (OK)
Practice address
1001 Carson Dr
Seminole, OK 74868-2210
Phone
(405) 382-5800
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0137233OKMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R0137233 OK Yes

Addresses

Primary practice location

1001 Carson Dr
Seminole, OK 74868-2210

Mailing address

600 W Strothers Ave
Seminole, OK 74868-3802
Phone (405) 382-5085

Other practice location 1

1400 Harding St
Seminole, OK 74868-2810
Phone (405) 382-1431

Other practice location 2

301 Timmons St
Seminole, OK 74868-3160
Phone (405) 382-5962

Other practice location 3

617 Timmons St
Seminole, OK 74868-3813
Phone (405) 382-5065

Other practice location 4

2703 Highway 9 W
Seminole, OK 74868-6616
Phone (405) 382-5800

Other identifiers

IdentifierTypeStateIssuer
R0137233OtherOKNURSING LICENSE

Other providers in Seminole, OK

All providers in Seminole, OK · School Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.