Individual provider · Type 1 NPI
Kelly Dawn Moak, PA-C
Medical Physician Assistant · Choctaw, OK
NPI number
1598860520
Active
Practice location
14321 NE 23rd St
Choctaw, OK 73020-8624
Fax (405) 610-6960
Mailing address
2100 W Iowa Ave
Chickasha, OK 73018-2736
Other practice locations
- 2100 W Iowa Ave, Chickasha, OK 73018-2736 · (405) 224-2100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2482 (OK) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Choctaw
About NPI 1598860520
Kelly Dawn Moak, PA-C's National Provider Identifier is 1598860520, issued on Sep 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Choctaw, OK. The record was last updated on Mar 17, 2018.