MRS. Kelly Dawn Moak, PA-C

NPI #1598860520 in Choctaw, Oklahoma

Provider Information

NPI Number
1598860520
Entity Type
Individual
Name
MRS. Kelly Dawn Moak, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 14, 2006
Last Updated
Mar 17, 2018

Practice Location

Address
14321 NE 23RD ST
ZIP Code
73020-8624
Phone
(405) 342-0255

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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