Individual
KELLEIGH DEEANN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6465 S YALE AVE STE 910, TULSA, OK 74136-7811
(918) 502-3200
(918) 502-3205
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2707
OK
Other
Enumeration date
12/27/2016
Last updated
05/12/2022
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