Individual
KATHY LOPEZ WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2921 SW 89TH ST, OKLAHOMA CITY, OK 73159-6332
(405) 787-7818
(405) 703-0645
Mailing address
PO BOX 891625, OKLAHOMA CITY, OK 73189-1625
(405) 753-9348
(405) 703-3116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115677
OK
363LP0200X
Pediatric Nurse Practitioner
115677
OK
Other
Enumeration date
08/27/2012
Last updated
02/01/2021
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