| Kelley Family Clinic | |
|
13190 Ne 23rd Street Choctaw OK 73020 | |
| (405) 769-7201 | |
| (405) 769-4034 |
| Full Name | Kelley Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 13190 Ne 23rd Street, Choctaw, Oklahoma |
| Authorized Official Name and Position | Nan Kelley (OFFICE MANAGER) |
| Authorized Official Contact | 4057697201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Family Clinic 13190 Ne 23rd Street Choctaw OK 73020 Ph: (405) 769-7201 | Kelley Family Clinic 13190 Ne 23rd Street Choctaw OK 73020 Ph: (405) 769-7201 |
| NPI Number | 1689768285 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689768285 | NPI | - | NPPES |
| 452023528002 | Other | OK | BC/BS FEDERAL |
| C2138 | Other | OK | BLUELINCS HMO |
| 452023528002 | Other | OK | CGS CLAIMS |
| 4335747 | Other | OK | AETNA HEALTHCARE |
| 452023528002 | Other | OK | BLUE CROSS BLUE SHIELD |
| 73020A002 | Other | OK | TRICARE SOUTH /LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2127 (Oklahoma) | Primary |
Healthcare Express, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14321 Ne 23rd Street, Choctaw, OK 73020 Phone: 405-342-0255 | |
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Ico Primary Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1664 S Choctaw Rd Ste 101, Choctaw, OK 73020 Phone: 405-281-2144 | |
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