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Kelly G West, PAC
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1518145135

Kelly G West is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Kelly G West practices in Tulsa, OK and has the professional credentials of PAC. The NPI Number for Kelly G West is 1518145135 and holds a License No. PA1716 (Oklahoma).

The current practice location address for Kelly G West is 6161 S Yale Ave, Tulsa, OK and can be reached out via phone at 918-494-1805 and via fax at 918-494-4573.

Location: 6161 S Yale Ave, Tulsa, OK, 74136-3361
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Provider Profile Details
NPI Number
1518145135
Provider Name
Kelly G West
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
6161 S Yale Ave, Tulsa, OK, 74136-3361
Phone Number
918-494-1805
Fax Number
918-494-4573
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 OK
PENDING 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6161 S Yale Ave
City
State
Zip
74136-1902
Phone Number
918-494-1805
Fax Number
918-494-4573
person
Provider Business Mailing Address Details
Address
6161 S Yale Ave
City
State
Zip
74136-1902
Phone Number
918-494-1805
Fax Number
918-494-4573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1716 (Oklahoma)
Definition
Definition to come...
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