Most Relevant Information
Provider Data
| NPI Number: | 1003346123 |
| Provider Name: | KELLY LYNN CHESSER APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 75184 |
Most Important Dates
| Enumeration Date: | 06/13/2017 |
| Last Updated: | 06/13/2017 |
Provider Practice Location
704 S 8TH ST
MCLOUD
OK
748518633
Practice Location Phone/Fax
| Phone: | 4059646463 |
| Fax: | 4059642412 |
Provider Mailing Location
PO BOX 258884
OKLAHOMA CITY
OK
731258884
Provider Mailing Phone/Fax
| Phone: | 4052313857 |
| Fax: | 4052727977 |