NPI 1003948597

Kelle R Christianson, PAC

Practitioner Medical Physician Assistant Midwest City, OK

Practice location

Address: 9917 SE 15th St, Midwest City, OK 73130-5504
Phone: (405) 622-2070
Mailing address: 1109 Twisted Oak Dr, Midwest City, OK 73130-5311

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1551 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1003948597
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Mar 2007
Record last updated: 14 Dec 2010

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.