KELLY J ELERICK

MUSKOGEE, OK
NPI1003806852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  915)
Enumeration Date2005-10-24
Last Update Date2007-07-08
Business Address
-- KELLY J ELERICK PA
300 ROCKEFELLER DR
MUSKOGEE, OK 74401-5075
Phone number: 918-781-9466
Mailing Address
-- KELLY J ELERICK PA
LOCKBOX #17 2424 E. 21ST #100
TULSA, OK 74114-1711
Phone number: 866-321-8433
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