Individual
KELSIE BLANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
620 S MADISON ST STE 203, ENID, OK 73701-7270
(580) 548-1544
(580) 548-1590
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(580) 977-1941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106561
OK
Other
Enumeration date
11/08/2018
Last updated
02/27/2020
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