Individual
MR. ROBERT WILLIAM KELLINGTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1500
Mailing address
12812 MEADOW CREST DR, OKLAHOMA CITY, OK 73170-5015
(405) 684-0117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2458
OK
363AM0700X
Medical Physician Assistant
2458
OK
Other
Enumeration date
01/26/2015
Last updated
10/04/2022
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