SearchOklahoma101YM0800X

Marcus Kelly

NPI 1992065619 · on the registry since 2012 · sole proprietor

Practice

Address
1805 Mead Ln
Moore, OK 73170
Phone
(405) 201-8496

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-29

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