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Kelly Lucas
Family Nurse Practitioner in Shawnee, Oklahoma
NPI 1861986762

Kelly Lucas is a Family Nurse Practitioner based in Shawnee, OK and is specialized in Family. Kelly Lucas practices in Shawnee, OK. The NPI Number for Kelly Lucas is 1861986762 and holds a License No. 92148 (Oklahoma).

The current practice location address for Kelly Lucas is 3700 N Kickapoo Ave Ste 124, Shawnee, OK and can be reached out via phone at 405-273-6383.

Location: 3700 N Kickapoo Ave Ste 124, Shawnee, OK, 74804-0007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861986762
Provider Name
Kelly Lucas
Credential
Provider Entity Type
Individual
Gender
Female
Address
3700 N Kickapoo Ave Ste 124, Shawnee, OK, 74804-0007
Phone Number
405-273-6383
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3700 N Kickapoo Ave Ste 124
City
Shawnee
State
Oklahoma
Zip
74804-0007
Phone Number
405-273-6383
Fax Number
person
Provider Business Mailing Address Details
Address
3700 N Kickapoo Ave Ste 124
City
Shawnee
State
Oklahoma
Zip
74804-0007
Phone Number
405-273-6383
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
92148 (Oklahoma)
Definition
Definition to come...
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