Kelli Christensen, PA-C
Individual provider Active NPI Medical Physician Assistant · Pawnee, OK
NPI 1679997357 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1679997357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C0005275 (MD)
- Practice address
- 1201 Heritage Cir
Pawnee, OK 74058-3744 - Phone
- (918) 762-2517
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee IHS Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0005275 | MD | Yes |
Addresses
Primary practice location
1201 Heritage Cir
Pawnee, OK 74058-3744
Mailing address
12364 N 172ND East Ave
Collinsville, OK 74021-5130
Phone (860) 908-3559
Other providers in Pawnee, OK
- Kristi Marie Bryant
- James Robert Burnham IX
- Cah Acquisition Company 12 LLC
- Laci Jolee Campbell
- CHI Inc
- City of Pawnee
- Mee-Kai Clark
- Jace Clinkenbeard
- William Edward Clymer
- Marsha Cobell-Moore
All providers in Pawnee, OK · Medical Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.