Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Thomas Kelly

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104717750

Matthew Thomas Kelly is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2709 NW 159th St
Edmond, OK 73013-1231
Phone: (405) 696-3440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104717750
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Other providers in Edmond