Kelly, Michael Joseph

Kelly, Michael Joseph is an individual health care provider with primary practice located at 6585 S Yale Ave Ste 720 , Tulsa OK 74136-8320. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kelly, Michael Joseph can be contacted via phone (918) 502-5930.

Contact Information

Primary practice address
6585 S Yale Ave Ste 720 Tulsa OK 74136-8320
Phone: (918) 502-5930
Fax: (918) 502-5935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4618 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2567 Colorado

Profile Details

NPI number 1740366111
LBN Legal business name Kelly, Michael Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2006
Last updated Sep 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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