Individual
KLESHA LADAWN NOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CM II,BHRS
Contact information
Practice address
2512 S HARVEY AVE, OKLAHOMA CITY, OK 73109-5958
(405) 858-2935
(405) 272-0472
Mailing address
2512 S HARVEY AVE, OKLAHOMA CITY, OK 73109-5958
(405) 858-2935
(405) 272-0472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100685660A
—
OK
05
—
100685660D
—
OK
Enumeration date
09/15/2009
Last updated
11/22/2011
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