Individual provider · Type 1 NPI

Kelsey Michelle Haynes

Physician Assistant · Owasso, OK

NPI number 1619631801 Active

Practice location

8418 N 123rd East Ave
Owasso, OK 74055-2139

Call (918) 858-4353 Map

Fax (866) 246-2942

Mailing address

1400 E 380 Rd
Talala, OK 74080-3833

Other practice locations

  • 1125 E Cleveland Ave, Sapulpa, OK 74066-4641 · (918) 224-9310

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4634 (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…

4 other providers at this address

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About NPI 1619631801

Kelsey Michelle Haynes's National Provider Identifier is 1619631801, issued on Oct 25, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Owasso, OK. The record was last updated on Aug 18, 2025.