MATTHEW KELLY

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1104717750

Practice Address

2709 NW 159TH ST
Edmond, OK 73013

Phone: (405) 696-3440

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1104717750 is the National Provider Identifier for MATTHEW KELLY, a Student in an Organized Health Care Education/Training Program provider located in Edmond, OK. This NPI was enumerated on July 11, 2025.
MATTHEW KELLY practices at 2709 NW 159TH ST, Edmond, OK 73013.

Quick Facts

NPI
1104717750
Type
Individual
Enumerated
Jul 11, 2025
Last Updated
Jul 11, 2025

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