Provider Demographics
NPI:1477353795
Name:KESTER, ANGELA S
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:KESTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:OK
Mailing Address - Zip Code:74960-5284
Mailing Address - Country:US
Mailing Address - Phone:918-507-1791
Mailing Address - Fax:
Practice Address - Street 1:1660 LINDA LN
Practice Address - Street 2:
Practice Address - City:STILWELL
Practice Address - State:OK
Practice Address - Zip Code:74960-5284
Practice Address - Country:US
Practice Address - Phone:918-507-1791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist