Individual
MRS. KELLE DAWN GASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CCNS-P, CDE
Contact information
Practice address
1200 N PHILLIPS AVE STE 4500, OKLAHOMA CITY, OK 73104-4600
(405) 271-6764
(405) 271-3093
Mailing address
1200 N PHILLIPS AVE STE D, OKLAHOMA CITY, OK 73104-4600
(405) 271-6764
(405) 271-3093
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
R0068098
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588822472
—
OK
Enumeration date
05/28/2008
Last updated
12/13/2017
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