Individual provider · Type 1 NPI
Kelle R. Christianson, PA-C
Medical Physician Assistant · Midwest City, OK
NPI number
1003948597
Active
Practice location
9917 SE 15th St
Midwest City, OK 73130-5504
Mailing address
1109 Twisted Oak Dr
Midwest City, OK 73130-5311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1551 (OK) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Midwest City
About NPI 1003948597
Kelle R. Christianson, PA-C's National Provider Identifier is 1003948597, issued on Mar 10, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Midwest City, OK. The record was last updated on Dec 14, 2010.