Individual
KERI ANNE BORROR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1712
OK
363AM0700X
Medical Physician Assistant
1712
OK
363AS0400X
Surgical Physician Assistant
1712
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1712
MEDICAL LICENSE
OK
Enumeration date
12/27/2007
Last updated
10/07/2021
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