Individual
LESLEY NICOLE KEESEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4550
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 421-4550
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R0080872
OK
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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