Gaske, Kelle Dawn
Gaske, Kelle Dawn is an sole proprietor health care provider with primary practice located at 1200 N Phillips Ave Ste 4500 , Oklahoma City OK 73104-4600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gaske, Kelle Dawn can be contacted via phone (405) 271-6764.Contact Information
Primary practice address
1200 N Phillips Ave Ste 4500
Oklahoma City OK 73104-4600
Phone: (405) 271-6764
Fax: (405) 271-3093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | R0068098 | Oklahoma |
Profile Details
| NPI number | 1588822472 |
|---|---|
| LBN Legal business name | Gaske, Kelle Dawn |
| Credentials | APRN, CCNS-P, CDE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 28th, 2008 |
| Last updated | Dec 13th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588822472 | NPPES |
| Oklahoma | MEDICAID | 1588822472 |
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