Smith, Kelsey J
Smith, Kelsey J is an individual health care provider with primary practice located at 3410 W 19Th Ave , Stillwater OK 74074-2732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Smith, Kelsey J can be contacted via phone (405) 252-1850.Contact Information
Primary practice address
3410 W 19Th Ave
Stillwater OK 74074-2732
Phone: (405) 252-1850
Fax: (405) 999-4775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23786 | Oklahoma |
Profile Details
| NPI number | 1679660427 |
|---|---|
| LBN Legal business name | Smith, Kelsey J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Apr 22nd, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679660427 | NPPES |
| Oklahoma | Other | 23786 | MEDICAL LICENSE # |
| Oklahoma | MEDICAID | 100745000C | MEDICAL LICENSE # |
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