Individual
MRS. LESLIE ANN KOLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
31870 OK-51, COWETA, OK 74429
(918) 279-3200
Mailing address
PO BOX 661, FORT GIBSON, OK 74434-0661
(918) 616-5925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1905376
OK
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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