Individual
DR. PATRICK F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 MAIN ST, WOODWARD, OK 73801-3046
(580) 571-8048
(580) 571-8085
Mailing address
1650 MAIN ST, WOODWARD, OK 73801-3046
(580) 571-8048
(580) 571-8085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K5127
TX
207X00000X
Orthopaedic Surgery Physician
Primary
4778
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171975901
—
TX
05
—
200248040
—
OK
01
—
K5127
TX LICENSE NUMBER
TX
Enumeration date
05/24/2006
Last updated
08/14/2009
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