KELLY M DENNIS PA

INTEGRIS AMBULATORY CARE CORPORATION

Dr KELLY M DENNIS PA is a male medical professional, specializing in Physician Assistant. He graduated in 2004.

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INTEGRIS AMBULATORY CARE CORPORATION

1205 HEALTH CTR PKWY
YUKON
OK
730996396

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KELLY M DENNIS PA Information

Npi 1386770246
Pac Id 7719924562
Professional Enrollment Id I20050603000985
Last Name DENNIS
First Name KELLY
Middle Name M
Suffix
Gender M
Credential PA
Medical School Name OTHER
Graduation Year 2004
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTEGRIS AMBULATORY CARE CORPORATION
Group Practice Pac Id 2365408465
Number Of Group Practice Members 423
Line 1 Street Address 1205 HEALTH CTR PKWY
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City YUKON
State OK
Zip Code 730996396
Phone Number
Hospital Affiliation Ccn 1 370211
Hospital Affiliation Lbn 1 INTEGRIS CANADIAN VALLEY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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