Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY DAWN MOAK, PA-C
ActiveMRS. KELLY DAWN MOAK, PA-C is a Medical Physician Assistant healthcare provider located in CHOCTAW, Oklahoma. NPI 1598860520 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CHOCTAW, OK
Registration Details
- NPI Number
- 1598860520
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2006 (19.962723939741 yrs)
- Last Updated
- Mar 17, 2018
- License
-
2482 (OK)
Practice Information
- Address
-
14321 NE 23RD STCHOCTAW, OK, 730208624Browse OK providers · Browse ZIP 73020
- Phone
- 4053420255
- Fax
- 4056106960
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CHOCTAW, OK
| Name | Credential | NPI |
|---|---|---|
| BILLY GRANT SANDERS | PA | 1164597860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.