person
Mrs. Kelly Dawn Moak, PA-C
Medical Physician Assistant in Choctaw, Oklahoma
NPI 1598860520

Kelly Dawn Moak is a Medical Physician Assistant based in Chickasha, OK and is specialized in Medical. Kelly Dawn Moak practices in Choctaw, OK and has the professional credentials of PA-C. The NPI Number for Kelly Dawn Moak is 1598860520 and holds a License No. 2482 (Oklahoma).

The current practice location address for Kelly Dawn Moak is 14321 Ne 23Rd St, Choctaw, OK and can be reached out via phone at 405-342-0255 and via fax at 405-610-6960.

Location: 14321 Ne 23Rd St, Choctaw, OK, 73018-2736
person
Provider Profile Details
NPI Number
1598860520
Provider Name
Kelly Dawn Moak
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
14321 Ne 23Rd St, Choctaw, OK, 73018-2736
Phone Number
405-342-0255
Fax Number
405-610-6960
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14321 Ne 23Rd St
City
State
Zip
73020-8624
Phone Number
405-342-0255
Fax Number
405-610-6960
person
Provider Business Mailing Address Details
Address
14321 Ne 23Rd St
City
State
Zip
73020-8624
Phone Number
405-342-0255
Fax Number
405-610-6960
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2482 (Oklahoma)
Definition
Definition to come...
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