Provider Demographics
NPI:1912594995
Name:SCHONES, KELSEY (APRN, WHNP-BC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:SCHONES
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:CANUTE
Mailing Address - State:OK
Mailing Address - Zip Code:73626-0065
Mailing Address - Country:US
Mailing Address - Phone:580-821-6925
Mailing Address - Fax:
Practice Address - Street 1:1109 N GLENN ENGLISH ST
Practice Address - Street 2:
Practice Address - City:CORDELL
Practice Address - State:OK
Practice Address - Zip Code:73632-2007
Practice Address - Country:US
Practice Address - Phone:580-832-2222
Practice Address - Fax:580-832-2223
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-24
Last Update Date:2024-11-20
Deactivation Date:2021-01-14
Deactivation Code:
Reactivation Date:2021-02-09
Provider Licenses
StateLicense IDTaxonomies
OK206994363LW0102X
OKR0107181163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty