KELLEY FAMILY CLINIC
NPI 1689768285
Family Medicine in Choctaw, OK

Q: What is Gregory P. Kelley D.O. Inc.'s NPI number?

The NPI number for Gregory P. Kelley D.O. Inc. is 1689768285. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Kelley Family Clinic.

Q: What is Gregory P. Kelley D.O. Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 03, 2006CLIA 37D0469542 · Waiver

13190 NE 23RD STREET, CHOCTAW, OK 73020(405) 769-7201(405) 769-4034 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelley Family Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY FAMILY CLINIC (NPI 1689768285) is a healthcare organization registered as a family medicine in Choctaw, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Nan Kelley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689768285

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGREGORY P. KELLEY D.O. INC.

Location Address13190 NE 23RD STREETChoctaw, OK 73020

Mailing Address13190 Ne 23rd StreetChoctaw, OK 73020 · (405) 769-7201 · Fax (405) 769-4034

Phone(405) 769-7201

Fax(405) 769-4034

Organization SubpartNo

Authorized OfficialNan KelleyOffice Manager · (405) 769-7201

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1689768285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OK · 2127

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13190 NE 23RD STREET, Choctaw, OK 73020

Open in Google Maps ↗

Other Names 1

Doing Business AsKelley Family Clinic

Other Identifiers 6

Other452023528002OK · Blue Cross Blue Shield

Other73020A002OK · Tricare South /life

Other4335747OK · Aetna Healthcare

Other452023528002OK · Cgs Claims

Other452023528002OK · Bc/bs Federal

OtherC2138OK · Bluelincs Hmo

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0469542

Kelley Family Clinic · Choctaw, OK

Active · expires Jun 5, 2027

CLIA Number37D0469542

Laboratory TypePhysician Office

Certificate Effective DateJune 6, 2025

Certificate Expiration DateJune 5, 2027

Laboratory DirectorStanley C. Shadid

Laboratory Phone(405) 769-7201

Laboratory LocationKelley Family Clinic13190 NE 23rd St, Choctaw, OK 73020

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory P. Kelley D.O. Inc.'s NPI number?

The NPI number for Gregory P. Kelley D.O. Inc. is 1689768285. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Kelley Family Clinic.

Where is Gregory P. Kelley D.O. Inc. located?

Gregory P. Kelley D.O. Inc. is located at 13190 NE 23rd Street, Choctaw, OK 73020. The listed phone number is (405) 769-7201.

What is Gregory P. Kelley D.O. Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gregory P. Kelley D.O. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0469542) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gregory P. Kelley D.O. Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.