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NPI Code Detail

MEDICARE: MISS CAMRYN ASHLEY CHITTY PA-C

MEDICARE: MISS CAMRYN ASHLEY CHITTY PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5425OK

General Provider Information

NPI Number : 1710605894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CAMRYN ASHLEY CHITTY PA-C
Provider Business Mailing Address
First Line : 448 IRISH LN
Second Line :
City : YUKON
State : OK
Zip : 73099-9312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3433 NW 56TH ST STE 400
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-4430
Country : US
Telephone Number : 405-948-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2022
Last Update Date : 03/25/2026

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Directions to “ MISS CAMRYN ASHLEY CHITTY PA-C” Practice Location

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