Kelly Hacker in Oklahoma City - Physician Assistant
Kelly Hacker - NPI 1104090208
Kelly Hacker is a Physician Assistant in Oklahoma City, Oklahoma. Kelly Hacker practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly Hacker is 1104090208. The last update date is 2008-04-18.
Kelly Hacker's current location address is 750 Ne 13th St Ste 200, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056271435 and fax number 4056271869. The mailing address for Kelly Hacker is 750 Ne 13th St Ste 200, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Hacker |
|---|---|
| Address | 750 Ne 13th St Ste 200, Oklahoma City, Oklahoma |
| Phone Number | 4056271435 |
| Fax Number | 4056271869 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104090208 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 750 Ne 13th St Ste 200 |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731045051 |
| Phone Number | 4056271435 |
| Fax Number | 4056271869 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1373 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Hacker?
The Kelly Hacker has been issued the NPI (National Provider Identifier) 1104090208 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kelly Hacker's facilities are geographically located?
The facilities of Kelly Hacker are physically situated at the following location: 750 Ne 13Th St Ste 200, Oklahoma City, OK, 731045051.
What is Kelly Hacker's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Hacker's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104090208 to Kelly Hacker?
The Centers for Medicare & Medicaid Services originally issued the 1104090208 to Kelly Hacker on 2008-04-18.
When was the information related to Kelly Hacker most recently updated or refreshed?
The details pertaining to the Kelly Hacker, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-18.
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