Kelle R Christianson, PA-C
NPI #1003948597 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1003948597
- Entity Type
- Individual
- Name
- Kelle R Christianson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Mar 10, 2007
- Last Updated
- Dec 14, 2010
Practice Location
- Address
- 9917 SE 15TH ST
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-5504
- Phone
- (405) 622-2070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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