Organization
KLE SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATIE LEIGH ELLIOTT (CSFA)
(918) 595-2331
Entity
Organization
Contact information
Practice address
7301 E NASHVILLE ST, BROKEN ARROW, OK 74014-2980
(918) 595-2331
(918) 893-1592
Mailing address
7301 E NASHVILLE ST, BROKEN ARROW, OK 74014-2980
(918) 595-2331
(918) 893-1592
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
02/02/2019
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