Individual
MRS. KELSEY MARIE LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
115 W ATLAS AVE, OOLOGAH, OK 74053-3349
(918) 376-3299
(918) 876-4541
Mailing address
PO BOX 622, OOLOGAH, OK 74053-0622
(918) 376-3299
(918) 876-4541
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
109392
OK
Other
Enumeration date
12/26/2017
Last updated
02/02/2026
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