Healthcare Provider Details

I. General information

NPI: 1427985688
Provider Name (Legal Business Name): LESLIE RENEA WELCH DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10429 W RENO AVE STE 100
OKLAHOMA CITY OK
73127-7171
US

IV. Provider business mailing address

2332 NW 162ND TER
EDMOND OK
73013-1283
US

V. Phone/Fax

Practice location:
  • Phone: 405-440-2095
  • Fax:
Mailing address:
  • Phone: 405-738-9913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number3361
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: