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Contact Information

KELLEY J JOY, DO
109 N FAIRLAND ST
STE 105
PRYOR CREEK, OK74361-4203
 Phone: 918-825-9900
 Fax: 918-825-4341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KELLEY J JOY · (Female)

NPI Number 1225057581
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/18/2006
Last updated 10/30/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 115577
  • OK License # 3926
  • OK Medicaid 100195450B
  • OK Other 030474832 TAX ID #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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