Search › Oklahoma › 363AM0700X
Kelly Moak, PA-C
NPI 1598860520 · on the registry since 2006
Practice
- Address
- 14321 Ne 23rd St
Choctaw, OK 73020 - Phone
- (405) 342-0255
- Fax
- (405) 610-6960
- Organisation at this address
- Healthcare Express, Llp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2100 W Iowa Ave, Chickasha, OK
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma