Individual
CHANDA T KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5200 E I 240 SERVICE RD, OKLAHOMA HEART HOSPITAL SOUTH WOUND CARE CENTER, OKLAHOMA CITY, OK 73135-2607
(405) 628-6405
(405) 753-1849
Mailing address
PO BOX 848371, BOSTON, MA 02284-8371
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1520
OK
Other
Enumeration date
02/26/2007
Last updated
04/17/2015
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