Individual provider · Type 1 NPI

Michael Joseph Kelly Jr., PA-C

Physician Assistant · Tulsa, OK

NPI number 1740366111 Active

Practice location

6585 S Yale Ave Ste 720
Tulsa, OK 74136-8320

Call (918) 502-5930 Map

Fax (918) 502-5935

Mailing address

6600 S Yale Ave Ste 1200
Tulsa, OK 74136-3361

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4618 (OK)
Surgical Physician Assistant 363AS0400X2567 (CO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740366111

Michael Joseph Kelly Jr., PA-C's National Provider Identifier is 1740366111, issued on Oct 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Tulsa, OK. The record was last updated on Sep 22, 2021.