Kelly J Elerick PA

NPI 1003806852 - Physician Assistant - 363AM0700X

NPI Details
NPI 1003806852
Gender Male
Enumeration Date 10/24/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
300 ROCKEFELLER DR
MUSKOGEE OK, 74401-5075, US
Phone (918) 781-9466
Fax
Business Location
LOCKBOX #17
2424 E. 21ST #100
TULSA OK, 74114-1711, US
Phone (866) 321-8433
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number 915
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According to our database, Kelly J Elerick PA NPI is 1003806852, taxonomy code is 363AM0700X and license number is 915, license state is located at Oklahoma. Kelly J Elerick PA physically located at 300 Rockefeller Dr, Muskogee OK, 74401-5075. NPI Number Kelly J Elerick PA has the Individual type.

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1003806852 NPI number is provided on an as is basis without warranty of any kind. 1003806852 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly J Elerick PA are for informational purposes only.