# GREGORY P. KELLEY D.O. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** kelley family clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689768285
- **Authorized official:** MRS. NAN KELLEY (OFFICE MANAGER)
- **Authorized official phone:** (405) 769-7201

## Contact information

- **Practice address:** 13190 NE 23RD STREET, CHOCTAW, OK 73020
- **Practice address phone:** (405) 769-7201
- **Practice address fax:** (405) 769-4034
- **Mailing address:** 13190 NE 23RD STREET, CHOCTAW, OK 73020
- **Mailing address phone:** (405) 769-7201
- **Mailing address fax:** (405) 769-4034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2127 | OK | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020