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Contact Information

DESTRY B KELLEY, DPT
3300 OK-97 STE 200
SAND SPRINGS, OK74063
 Phone: 539-527-0045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DESTRY B KELLEY · (Male)

NPI # 1003640715
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/27/2024
Last updated 08/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 6495
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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