Mark A Kelley Md is a Psychiatry in Tulsa, Oklahoma. Mark A Kelley Md practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mark A Kelley Md is 1164621207. The last update date is 2007-07-17.
Mark A Kelley Md's current location address is 1705 E 19th St, Tulsa, Oklahoma. You can contact this provider via phone number 9187476095. The mailing address for Mark A Kelley Md is 1705 E 19th St, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark A Kelley Md |
|---|---|
| Address | 1705 E 19th St, Tulsa, Oklahoma |
| Phone Number | 9187476095 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelley A Mark |
| Credentials | MD |
| Telephone Number | 9187476095 |
NPI Number Detail
| NPI Number | 1164621207 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-07-17 |
Provider Mailing Address Detail
| Address | 1705 E 19th St |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741045405 |
| Phone Number | 9187476095 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to Mark A Kelley Md by the Centers for Medicare & Medicaid Services?
The Mark A Kelley Md has been assigned the NPI (National Provider Identifier) 1164621207. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark A Kelley Md?
The Mark A Kelley Md is situated at 1705 E 19Th St, in the city of Tulsa, state of OK, with the zip code 741045405.
What is Mark A Kelley Md's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark A Kelley Md is Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084P0800X.
On what date did the Mark A Kelley Md receive the assignment of its 1164621207 from the Centers for Medicare & Medicaid Services?
The Mark A Kelley Md was issued its 1164621207 by the Centers for Medicare & Medicaid Services on 2007-07-17.
When was the Mark A Kelley Md's information last updated?
The Mark A Kelley Md's information was last updated on 2007-07-17.
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