Individual provider · Type 1 NPI

Kristen Walters Hodges, P.A.-C

Surgical Physician Assistant · Norman, OK

NPI number 1609046416 Active

Practice location

3400 W Tecumseh Rd Ste 101
Norman, OK 73072

Call (405) 360-6764 Map

Fax (405) 360-6769

Mailing address

1800 Renaissance Blvd, Suite 210
Edmond, OK 73013-3023

Other practice locations

  • 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 · (405) 509-7370

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA1682 (OK)
Surgical Physician Assistant Primary 363AS0400XPA1682 (OK)

Surgical Physician Assistant: Definition to come...

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About NPI 1609046416

Kristen Walters Hodges, P.A.-C's National Provider Identifier is 1609046416, issued on Mar 7, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Norman, OK. The record was last updated on Feb 14, 2019.