Individual provider · Type 1 NPI

Kelly J. Elerick, PA

Medical Physician Assistant · Muskogee, OK

NPI number 1003806852 Active

Practice location

300 Rockefeller Dr
Muskogee, OK 74401-5075

Mailing address

Lockbox #17, 2424 E. 21st #100
Tulsa, OK 74114-1711

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X915 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1003806852

Kelly J. Elerick, PA's National Provider Identifier is 1003806852, issued on Oct 24, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muskogee, OK. The record was last updated on Jul 8, 2007.