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Individual
KELLEY JEAN JOY
Active
Individual
KELLEY JEAN JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
115577
MO
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
3926
OK
207Q00000X
Family Medicine Physician
115577
MO
207Q00000X
Family Medicine Physician
3926
OK
Other
Enumeration date
07/18/2006
Last updated
10/30/2019
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