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Individual

KELLI LEA LEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 560-3823
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R0073415
OK
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
R0073415
OK

Other

Enumeration date
05/06/2013
Last updated
08/04/2021
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