Individual
STEPHANIE ELAINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3011
Mailing address
DEPARTMENT 960591, OKLAHOMA CITY, OK 73196-0591
(800) 637-8884
(484) 224-2926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3749
OK
2085R0202X
Diagnostic Radiology Physician
A-2464-21
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200031830B
—
OK
Enumeration date
04/25/2006
Last updated
04/09/2026
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