Individual
STEPHANIE KEESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
201 N HINCKLEY ST, HOLDENVILLE, OK 74848
(405) 712-5080
(833) 254-2642
Mailing address
201 N HINCKLEY ST, HOLDENVILLE, OK 74848-5449
(405) 712-5080
(833) 254-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83082
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200670850A
—
OK
Enumeration date
07/28/2015
Last updated
06/29/2018
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