Provider Demographics
NPI:1063637130
Name:KESTER, RISE LYNNE (APRN)
Entity type:Individual
Prefix:MRS
First Name:RISE
Middle Name:LYNNE
Last Name:KESTER
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 1:1000 HOSPITAL CIR
Mailing Address - Street 2:
Mailing Address - City:KINGFISHER
Mailing Address - State:OK
Mailing Address - Zip Code:73750-5002
Mailing Address - Country:US
Mailing Address - Phone:405-375-6355
Mailing Address - Fax:405-375-6374
Practice Address - Street 1:1000 HOSPITAL CIR
Practice Address - Street 2:
Practice Address - City:KINGFISHER
Practice Address - State:OK
Practice Address - Zip Code:73750-5002
Practice Address - Country:US
Practice Address - Phone:405-375-6355
Practice Address - Fax:405-375-6374
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0028101364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care