KELLEN WILLIAM JOSEPH HOMER

YUKON, OK
NPI1215312442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
MR. KELLEN WILLIAM JOSEPH HOMER PA-C
1201 HEALTH CENTER PKWY
YUKON, OK 73099-6381
Phone number: 405-717-6800
Mailing Address
MR. KELLEN WILLIAM JOSEPH HOMER PA-C
9005 SW 38TH TER
OKLAHOMA CITY, OK 73179-3813
Phone number: 740-296-4763
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