Joy, Kelley Jean

Joy, Kelley Jean is an sole proprietor health care provider with primary practice located at 109 N Fairland St Ste 105, Pryor OK 74361-4203. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Joy, Kelley Jean can be contacted via phone (918) 825-9900.

Contact Information

Primary practice address
109 N Fairland St Ste 105 Pryor OK 74361-4203
Phone: (918) 825-9900
Fax: (918) 825-4341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 115577 Missouri
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 115577 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3926 Oklahoma
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 3926 Oklahoma

Profile Details

NPI number 1225057581
LBN Legal business name Joy, Kelley Jean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Oct 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225057581 NPPES
Oklahoma Other 030474832 TAX ID #
Oklahoma MEDICAID 100195450B TAX ID #

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