Individual
DR. MICHAEL T KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1202 W FARM RD, STILLWATER, OK 74078-2000
(405) 744-7665
(405) 744-6556
Mailing address
1202 W FARM RD, STILLWATER, OK 74078-2000
(405) 744-7665
(405) 744-6556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12715
OK
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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