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Individual

KELLI CHRISTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
Mailing address
12364 N 172ND EAST AVE, COLLINSVILLE, OK 74021-5130
(860) 908-3559

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005275
MD

Other

Enumeration date
02/14/2014
Last updated
02/14/2014
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