Kelly J Elerick is a Medical in Muskogee, Oklahoma. Kelly J Elerick practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly J Elerick is 1003806852. The last update date is 2007-07-08.
Kelly J Elerick's current location address is 300 Rockefeller Dr, Muskogee, Oklahoma. You can contact this provider via phone number 9187819466. The mailing address for Kelly J Elerick is 300 Rockefeller Dr, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly J Elerick |
|---|---|
| Address | 300 Rockefeller Dr, Muskogee, Oklahoma |
| Phone Number | 9187819466 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003806852 |
|---|---|
| Provider Enumeration Date | 2005-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Rockefeller Dr |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744015075 |
| Phone Number | 9187819466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 915 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to Kelly J Elerick by the Centers for Medicare & Medicaid Services (CMS)?
The Kelly J Elerick has been assigned the NPI (National Provider Identifier) 1003806852. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kelly J Elerick?
The Kelly J Elerick is physically situated at 300 Rockefeller Dr, in the city of Muskogee, state of OK, with the postal code 744015075.
What is Kelly J Elerick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly J Elerick's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003806852 to Kelly J Elerick?
The Kelly J Elerick received its 1003806852 assignment from the Centers for Medicare & Medicaid Services on 2005-10-24.
As of what date were the Kelly J Elerick's details last updated?
The information pertaining to the Kelly J Elerick, including its address, specialty, and other details, was most recently updated on 2007-07-08.