Individual
CLINT KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8500
Mailing address
19532 E BEAVERSON RD, TAHLEQUAH, OK 74464-0510
(918) 931-1881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3303
OK
Other
Enumeration date
04/25/2025
Last updated
07/24/2025
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