Individual provider · Type 1 NPI

Keely Elizabeth Nickel, PA-C

Physician Assistant · Stillwater, OK

NPI number 1780358549 Active

Practice location

170 Athletics Center
Stillwater, OK 74078-0001

Call (405) 744-5430 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5205 (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 1780358549

Keely Elizabeth Nickel, PA-C's National Provider Identifier is 1780358549, issued on Aug 5, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stillwater, OK. The record was last updated on Sep 2, 2026.