Individual provider · Type 1 NPI

Amanda Danyielle Kershaw, PA-C

Medical Physician Assistant · Oklahoma City, OK

NPI number 1912368523 Active

Practice location

800 NE 10th St
Oklahoma City, OK 73104-5418

Call (405) 271-8001 Map

Mailing address

800 NE 10th St Fl 6
Oklahoma City, OK 73104-5418

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA.0007857 (CO)
Medical Physician Assistant Primary 363AM0700X2614 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1912368523

Amanda Danyielle Kershaw, PA-C's National Provider Identifier is 1912368523, issued on Mar 9, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 22, 2024.