Individual
MRS. KELSEY KATHERINE DAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1221 ARLINGTON ST STE B, ADA, OK 74820-4067
(580) 436-5111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-2362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4493
OK BOARD OF MEDICAL LICENSURE
OK
Enumeration date
10/04/2020
Last updated
07/10/2025
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