Individual provider · Type 1 NPI
Kelsey Marie Lillard, APRN, CPNP-PC
Pediatric Nurse Practitioner · Oologah, OK
NPI number
1871009019
Active
Practice location
115 W Atlas Ave
Oologah, OK 74053-3349
Fax (918) 876-4541
Mailing address
PO Box 622
Oologah, OK 74053-0622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 109392 (OK) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1871009019
Kelsey Marie Lillard, APRN, CPNP-PC's National Provider Identifier is 1871009019, issued on Dec 26, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Oologah, OK. The record was last updated on Feb 2, 2026.