Individual
KELSEY ANN RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
619 NW 23RD ST, OKLAHOMA CITY, OK 73103-1415
(405) 614-0821
Mailing address
619 NW 23RD ST, OKLAHOMA CITY, OK 73103-1415
(405) 614-0821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2157
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157
OKLAHOMA LICENSE
OK
Enumeration date
08/15/2012
Last updated
01/02/2013
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