Provider Demographics
NPI:1952819195
Name:CHOATE, KASEY LEE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KASEY
Middle Name:LEE
Last Name:CHOATE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NE 122ND ST APT 2012
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73114-8155
Mailing Address - Country:US
Mailing Address - Phone:405-592-9016
Mailing Address - Fax:
Practice Address - Street 1:700 NE 122ND ST APT 2012
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-8155
Practice Address - Country:US
Practice Address - Phone:405-592-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK107502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily