Kelly Family Medicine

LBN: Kelly Medical, Pc
Kelly Family Medicine is an health care organization with primary practice located at 13921 N Meridian Ave Ste 100 , Oklahoma City OK 73134-1106. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Kelly Medical, Pc can be contacted via phone (405) 752-9600, or through Kelly, Stephen Blake via phone (405) 752-9600.

Contact Information

Primary practice address
13921 N Meridian Ave Ste 100 Oklahoma City OK 73134-1106
Phone: (405) 752-9600
Fax: (405) 752-9650
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Stephen Blake Doctor of Medicine (MD)
Phone: (405) 752-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1467495226
LBN Legal business name Kelly Medical, Pc
DBA Doing business as Kelly Family Medicine
Authorized official Kelly, Stephen Blake Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated Oct 31st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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