Individual
JOHN S KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD, SUITE 602, BARTLESVILLE, OK 74006-2495
(918) 331-2440
(918) 331-2433
Mailing address
3400 E FRANK PHILLIPS BLVD, SUITE 602, BARTLESVILLE, OK 74006-2495
(918) 331-2440
(918) 331-2433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
641
OK
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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