Kellie M Carter, RN

Individual provider Active NPI Registered Nurse · Del City, OK

NPI 1336090356 · NPPES record last updated Feb 5, 2026

Key facts

NPI
1336090356
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R0094648 (OK)
Practice address
4731 Judy Dr
Del City, OK 73115-3815
Phone
(405) 671-8615
NPI assigned
Feb 5, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0094648OKMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0094648 OK Yes

Addresses

Primary practice location

4731 Judy Dr
Del City, OK 73115-3815

Mailing address

4731 Judy Dr
Del City, OK 73115-3815
Phone (405) 671-8615

Other providers in Del City, OK

All providers in Del City, OK · Registered Nurse in Oklahoma

Sources for this page

Verify at the official NPI Registry.