Individual provider · Type 1 NPI

Kellen William Joseph Homer, PA-C

Medical Physician Assistant · Yukon, OK

NPI number 1215312442 Active

Practice location

1201 Health Center Pkwy
Yukon, OK 73099-6381

Mailing address

9005 SW 38th Ter
Oklahoma City, OK 73179-3813

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1215312442

Kellen William Joseph Homer, PA-C's National Provider Identifier is 1215312442, issued on Jul 29, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Yukon, OK. The record was last updated on Jul 29, 2015.