Organization
OOLOGAH PEDIATRIC CARE, PLLC
Active
Other names
Oologah Pediatric Care
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY LILLARD APRN, CPNP-PC (OWNER)
(918) 376-3299
Entity
Organization
Contact information
Practice address
115 W ATLAS AVE, OOLOGAH, OK 74053-3349
(918) 376-3299
(918) 876-4541
Mailing address
PO BOX 622, OOLOGAH, OK 74053-0622
(918) 376-3299
(918) 876-4541
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
02/02/2026
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