KELLE R CHRISTIANSON PA-C NPI 1003948597

NPI Information

NPI: 1003948597
Provider Name: KELLE R CHRISTIANSON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
9917 SE 15TH ST
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 622-2070
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Kelle R Christianson, PA-C is a medical physician assistant in Midwest City, OK. Kelle R Christianson, PA-C NPI is 1003948597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9917 SE 15TH ST
MIDWEST CITY, OK
ZIP 73130-504
Phone: (405) 622-2070

The enumeration date for this NPI number is 3/10/2007 and was last updated on 12/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1551	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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