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KELLY J ELERICK PA
NPI 1003806852
Physician Assistant - Medical in Muskogee, OK

Active since October 24, 2005
300 ROCKEFELLER DR, MUSKOGEE, OK 74401(918) 781-9466 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly J Elerick Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY J ELERICK PA (NPI 1003806852) is an individual medical provider in Muskogee, Oklahoma, licensed in Oklahoma (915) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1003806852
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY J ELERICKCredential: PA
Location Address300 ROCKEFELLER DRMuskogee, OK 74401-5075
Mailing AddressLockbox #17, 2424 E. 21st #100Tulsa, OK 74114-1711 · (866) 321-8433
Phone(918) 781-9466
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003806852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OK · 915
300 ROCKEFELLER DR, Muskogee, OK 74401
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS40925

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN NEAL STEPHENS CRNA
Nurse Anesthetist, Certified Registered
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 684-2279
ERIC W MIX DO
Family Medicine
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
THOMAS A DIGIOVANNA MD
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
KIMBERLY R GAGE MD
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
CARL D GLIDDEN DO
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
DOUGLAS M RAYMER MD
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
HENRY K UPCHURCH JR. DO
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466
MICHAEL D RILEY MD
Emergency Medicine (Emergency Medical Services)
300 ROCKEFELLER DR
MUSKOGEE, OK 74401
Muskogee County (918) 781-9466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Elerick's NPI number?

The NPI number for Kelly Elerick is 1003806852. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Kelly Elerick located?

Kelly Elerick practices at 300 Rockefeller Dr, Muskogee, OK 74401. The listed phone number is (918) 781-9466.

What is Kelly Elerick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kelly Elerick was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.