Individual provider · Type 1 NPI

Kelly Hacker, PA-C

Physician Assistant · Oklahoma City, OK

NPI number 1104090208 Active

Practice location

750 NE 13th St Ste 200
Oklahoma City, OK 73104-5051

Call (405) 627-1435 Map

Fax (405) 627-1869

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1373 (OK)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104090208

Kelly Hacker, PA-C's National Provider Identifier is 1104090208, issued on Apr 18, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 18, 2008.