Individual
LESLIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, WHNP-BC
Contact information
Practice address
4809 EAST 89TH STREET SOUTH, SUITE 100, TULSA, OK 74137
(918) 615-8484
Mailing address
8517 E LANSING ST, BROKEN ARROW, OK 74014-7406
(918) 691-0305
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
114699
OK
Other
Enumeration date
03/27/2018
Last updated
09/20/2019
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