Individual
MRS. MONA KAY KEELINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-8018
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-8018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0051009
OK
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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