| NPI | 1467495226 |
|---|---|
| Doing Business As | KELLY FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN BLAKE KELLY Doctor 405-752-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-10-31 |