Individual
KESHA DAWN AXTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 819-1889
Mailing address
2250 N AIRPORT RD, WEATHERFORD, OK 73096-3351
(580) 819-1889
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
136602
OK
Other
Enumeration date
07/23/2025
Last updated
12/12/2025
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