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Individual

KELLIE R JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 NE 10TH ST, OUPB 2500, OKLAHOMA CITY, OK 73104-5417
(405) 271-7001
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20751
OK
207RP1001X
Pulmonary Disease Physician
Primary
20751
OK
208000000X
Pediatrics Physician
20751
OK

Other

Enumeration date
03/14/2006
Last updated
07/03/2008
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