Healthcare Provider Details

I. General information

NPI: 1447104575
Provider Name (Legal Business Name): MACEY KLEYN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14101 PARKWAY COMMONS DR
OKLAHOMA CITY OK
73134-6012
US

IV. Provider business mailing address

18913 CASERO DR
EDMOND OK
73012-4044
US

V. Phone/Fax

Practice location:
  • Phone: 405-749-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number230602
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR0133600
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: