Individual
KERI D MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
215 N KANSAS ST, WEATHERFORD, OK 73096-5443
(580) 772-5551
Mailing address
2112 PINE VIEW TER, EDMOND, OK 73003-2470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
860
OK
363AM0700X
Medical Physician Assistant
860
OK
Other
Enumeration date
06/03/2006
Last updated
09/19/2024
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