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Mrs. Elena Marie Ketner, NP
Family Nurse Practitioner in Lawton, Oklahoma
NPI 1497179543

Elena Marie Ketner is a Family Nurse Practitioner based in Lawton, OK and is specialized in Family. Elena Marie Ketner practices in Lawton, OK and has the professional credentials of NP. The NPI Number for Elena Marie Ketner is 1497179543 and holds a License No. (Oklahoma).

The current practice location address for Elena Marie Ketner is 3401 W Gore Blvd, Lawton, OK and can be reached out via phone at 580-355-8620. You can also correspond with Elena Marie Ketner through the mailing address at 3401 W GORE BLVD, LAWTON, OK - 73505-6332 (mailing address contact number: 580-355-8620).

Location: 3401 W Gore Blvd, Lawton, OK, 73505-6332
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Provider Profile Details
NPI Number
1497179543
Provider Name
Elena Marie Ketner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3401 W Gore Blvd, Lawton, OK, 73505-6332
Phone Number
580-355-8620
Fax Number
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497179543 05 OK
institution
Provider Business Practice Location Address Details
Address
3401 W Gore Blvd
City
State
Zip
73505-6332
Phone Number
580-355-8620
Fax Number
person
Provider Business Mailing Address Details
Address
3401 W Gore Blvd
City
State
Zip
73505-6332
Phone Number
580-355-8620
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
207300 (Oklahoma)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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