Moak, Kelly Dawn

Moak, Kelly Dawn is an individual health care provider with primary practice located at 14321 Ne 23Rd St , Choctaw OK 73020-8624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moak, Kelly Dawn can be contacted via phone (405) 342-0255.

Contact Information

Primary practice address
14321 Ne 23Rd St Choctaw OK 73020-8624
Fax: (405) 610-6960
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2482 Oklahoma

Profile Details

NPI number 1598860520
LBN Legal business name Moak, Kelly Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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