Kelly Medical, Pc in Oklahoma City - Addiction Medicine
Kelly Medical, Pc - NPI 1467495226
Kelly Medical, Pc is a Addiction Medicine in Oklahoma City, Oklahoma. Kelly Medical, Pc practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kelly Medical, Pc is 1467495226. The last update date is 2019-10-31.
Kelly Medical, Pc's current location address is Po Box 268938, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057529600 and fax number 4057529650. The mailing address for Kelly Medical, Pc is Po Box 268938, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Medical, Pc |
|---|---|
| Address | Po Box 268938, Oklahoma City, Oklahoma |
| Phone Number | 4057529600 |
| Fax Number | 4057529650 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Kelly Blake Stephen |
| Credentials | MD |
| Telephone Number | 4057529600 |
NPI Number Detail
| NPI Number | 1467495226 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2019-10-31 |
Provider Mailing Address Detail
| Address | Po Box 268938 |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731268938 |
| Phone Number | 4057529600 |
| Fax Number | 4057529650 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
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What is the unique identification code assigned to Kelly Medical, Pc by the Centers for Medicare & Medicaid Services?
The Kelly Medical, Pc has been issued the NPI (National Provider Identifier) 1467495226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Medical, Pc?
The Kelly Medical, Pc is physically situated at Po Box 268938, in the city of Oklahoma City, state of OK, with the postal code 731268938.
What is Kelly Medical, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Medical, Pc is Addiction Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qa0401X.
On what date did the Kelly Medical, Pc receive its 1467495226 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Medical, Pc was assigned its 1467495226 by the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding Kelly Medical, Pc most recently updated?
The details pertaining to the Kelly Medical, Pc, including its address, specialty, and other relevant information, were last refreshed on 2019-10-31.
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