Individual
DR. SEAN F KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4317 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1720
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 26706, OKLAHOMA CITY, OK 73126-0706
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16228
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090310B
—
OK
01
—
P00372726
RR MEDICARE
OK
Enumeration date
04/26/2006
Last updated
04/26/2012
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