Search › Oklahoma › 1223G0001X
Mark Kelly
NPI 1578656393 · on the registry since 2006
Practice
- Address
- 3637 Nw 39th St
Oklahoma City, OK 73112 - Phone
- (405) 942-7755
- Organisation at this address
- Children'S Dental Clinic Of Oklahoma City At Portland Plaza, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma