NPI 1003806852

Kelly J Elerick, PA

Practitioner Medical Physician Assistant Muskogee, OK

Practice location

Address: 300 Rockefeller Dr, Muskogee, OK 74401-5075
Phone: (918) 781-9466
Mailing address: Lockbox #17 2424 E. 21st #100, Tulsa, OK 74114-1711

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 915 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1003806852
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.