Michael Joseph Kelly in Tulsa - Physician Assistant

Michael Joseph Kelly - NPI 1740366111

Michael Joseph Kelly is a Physician Assistant in Tulsa, Oklahoma. Michael Joseph Kelly practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Joseph Kelly is 1740366111. The last update date is 2021-09-22.

Michael Joseph Kelly's current location address is 6585 S Yale Ave Ste 720, Tulsa, Oklahoma. You can contact this provider via phone number 9185025930 and fax number 9185025935. The mailing address for Michael Joseph Kelly is 6585 S Yale Ave Ste 720, Tulsa, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Joseph Kelly
Address 6585 S Yale Ave Ste 720, Tulsa, Oklahoma
Phone Number 9185025930
Fax Number 9185025935
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1740366111
Provider Enumeration Date 2006-10-28
Last Updated Date 2021-09-22

Provider Mailing Address Detail

Address 6585 S Yale Ave Ste 720
City Tulsa
State Oklahoma (OK)
Post Code 741368320
Phone Number 9185025930
Fax Number 9185025935

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4618
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael Joseph Kelly

Could you provide the complete address where Michael Joseph Kelly is physically located?

The Michael Joseph Kelly is situated at the following address: 6585 S Yale Ave Ste 720, Tulsa, OK 741368320.

What is Michael Joseph Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Joseph Kelly's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Michael Joseph Kelly receive the assignment of its 1740366111 from the Centers for Medicare & Medicaid Services?

The Michael Joseph Kelly was issued its 1740366111 by the Centers for Medicare & Medicaid Services on 2006-10-28.

When was the information regarding Michael Joseph Kelly most recently updated?

The details pertaining to the Michael Joseph Kelly, including its address, specialty, and other relevant information, were last refreshed on 2021-09-22.

As of what date was the information pertaining to Michael Joseph Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Joseph Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-09-22.

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