Kelly, Michael T

Kelly, Michael T is an individual health care provider with primary practice located at 1202 W Farm Rd , Stillwater OK 74078-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kelly, Michael T can be contacted via phone (405) 744-7665.

Contact Information

Primary practice address
1202 W Farm Rd Stillwater OK 74078-2000
Fax: (405) 744-6556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12715 Oklahoma

Profile Details

NPI number 1518936152
LBN Legal business name Kelly, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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