Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kallie Blythe Humphreys, PA-C

Individual provider Medical Physician Assistant · NPI 1194061143

Mrs. Kallie Blythe Humphreys, PA-C is a Medical Physician Assistant in Oklahoma City, Oklahoma. Works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3300 NW Expy
Oklahoma City, OK 73112-4999
Phone: (405) 949-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2825 Parklawn Dr, Midwest City, OK 73110-4201 — (405) 610-4411

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2188 (OK)
Medical Physician Assistant Taxonomy 363AM0700X · Licence APA2188 (OK)

Record details

NPI number1194061143
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2012
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

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