Individual
LESLIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1200 CHILDRENS AVE STE 5D, OKLAHOMA CITY, OK 73104-4637
(405) 271-4211
Mailing address
1200 CHILDRENS AVE STE 14612, OKLAHOMA CITY, OK 73104-4637
(405) 271-4211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109417
OK
Other
Enumeration date
12/12/2019
Last updated
04/23/2021
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