Individual
DR. KELSEY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3410 W 19TH AVE, STILLWATER, OK 74074-2732
(405) 252-1850
(405) 999-4775
Mailing address
3410 W 19TH AVE, STILLWATER, OK 74074-2732
(405) 252-1850
(405) 999-4775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23786
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100745000C
—
OK
01
—
23786
MEDICAL LICENSE #
OK
Enumeration date
10/05/2006
Last updated
04/22/2025
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