Mrs Kelly Marie Swan, PTA is a
Physical Medicine & Rehabilitation physician based in Owasso, Oklahoma. Mrs Kelly Marie Swan is licensed to practice in Oklahoma (license number 1353) and her current practice location is 12912 E 86th St N, Owasso, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 524-3833.
NPI number for Mrs Kelly Marie Swan is 1619569852 and her current mailing address is 19822 S Covey Ct, Claremore, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619569852.
Physician's Profile
Full Name | Mrs Kelly Marie Swan |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 12912 E 86th St N, Owasso, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619569852
- Provider Enumeration Date: 02/09/2021
- Last Update Date: 05/09/2025
Medical Identifiers
Medical identifiers for Mrs Kelly Marie Swan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619569852 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 460722482 (Oklahoma) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 1353 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Marie Swan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Marie Swan, PTA 19822 S Covey Ct, Claremore, OK 74019-0041 Ph: (918) 274-1300 | Mrs Kelly Marie Swan, PTA 12912 E 86th St N, Owasso, OK 74055-8608 Ph: (918) 524-3833 |
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