Kelly, Patrick F

Kelly, Patrick F is an individual health care provider with primary practice located at 1650 Main St , Woodward OK 73801-3046. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Kelly, Patrick F can be contacted via phone (580) 571-8048.

Contact Information

Primary practice address
1650 Main St Woodward OK 73801-3046
Phone: (580) 571-8048
Fax: (580) 571-8085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K5127 Texas
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4778 Oklahoma

Profile Details

NPI number 1184679417
LBN Legal business name Kelly, Patrick F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 14th, 2009 - about 16 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 1184679417 NPPES
Texas Other K5127 TX LICENSE NUMBER
Texas MEDICAID 171975901 TX LICENSE NUMBER
Texas MEDICAID 200248040 TX LICENSE NUMBER

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