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

Mr. Michael Joseph Kelly Jr., PA-C

Individual provider Physician Assistant · NPI 1740366111

Mr. Michael Joseph Kelly Jr., PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2006, 20 years ago. Practices with Warren Clinic Inc, a 772-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Oklahoma.

Years since qualifying
20
Licensed in
CO, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6585 S Yale Ave Ste 720
Tulsa, OK 74136-8320
Phone: (918) 502-5930
Fax: (918) 502-5935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4618 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2567 (CO)

Record details

NPI number1740366111
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2006
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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