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Individual

KELLY LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-FNP-C

Contact information

Practice address
1327 OKLAHOMA AVE, WOODWARD, OK 73801-4454
(580) 254-2377
(580) 254-2388
Mailing address
1327 OKLAHOMA AVE, WOODWARD, OK 73801-4454
(580) 254-2377
(580) 254-2388

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024182771
VA
363LF0000X
Family Nurse Practitioner
Primary
228703
OK
363LF0000X
Family Nurse Practitioner
CNP201331
ME

Other

Enumeration date
11/18/2019
Last updated
05/26/2026
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