KELLY HACKER

OKLAHOMA CITY, OK
NPI1104090208
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1373)
Enumeration Date2008-04-18
Last Update Date2008-04-18
Business Address
Mrs. KELLY HACKER PA-C
750 NE 13TH ST STE 200
OKLAHOMA CITY, OK 73104-5051
Phone number: 405-627-1435
Mailing Address
Mrs. KELLY HACKER PA-C
750 NE 13TH ST STE 200 P.O. BOX 53188
OKLAHOMA CITY, OK 73104-5051
Phone number: 405-627-1435
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