Provider Demographics
NPI:1417914870
Name:PIPKINS, LESLEY K (PA)
Entity Type:Individual
Prefix:
First Name:LESLEY
Middle Name:K
Last Name:PIPKINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LESLEY
Other - Middle Name:
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:7858 S OLYMPIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1857
Practice Address - Country:US
Practice Address - Phone:918-986-9200
Practice Address - Fax:918-986-9205
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1327363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200034890AMedicaid
OKQ08914Medicare UPIN
OK24H619031Medicare PIN
OK200034890AMedicaid