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DR. KELLY M. HUMPHERYS MD
NPI 1831272319
Family Medicine in Ramona, OK

Active since October 20, 2006
400 WYANDOTTE, RAMONA, OK 74061(918) 536-2104(918) 536-2203 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly M. Humpherys Md NPPES

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

DR. KELLY M. HUMPHERYS MD (NPI 1831272319) is an individual family medicine provider in Ramona, Oklahoma, licensed in Oklahoma (26599) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1831272319
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY M. HUMPHERYSCredential: MD
Location Address400 WYANDOTTERamona, OK 74061-1337
Mailing AddressP.o. Box 420, 400 WyandotteRamona, OK 74061-1337 · (918) 536-2104 · Fax (918) 536-2203
Phone(918) 536-2104
Fax(918) 536-2203
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateOctober 18, 2011
✔ NPI 1831272319 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 · 26599
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.
400 WYANDOTTE, Ramona, OK 74061
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Other Names 1

Former Name (1)Kelly M. Lietz Md

Other Identifiers 6

Medicare UPINI33282MO
Medicare OSCAR/certificationPTANOK401306OK
Medicaid200207550AOK
Medicaid163634001AR
Medicaid206226201MO
Other5N728AR · Ar Blue Shield #

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANEY VALLEY MEDICAL FOUNDATION
Family Medicine
400 WYANDOTTE
RAMONA, OK 74061
Washington County (918) 536-1024

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 Kelly Humpherys's NPI number?

The NPI number for Kelly Humpherys is 1831272319. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Kelly M. Lietz MD.

Where is Kelly Humpherys located?

Kelly Humpherys practices at 400 Wyandotte, Ramona, OK 74061. The listed phone number is (918) 536-2104.

What is Kelly Humpherys's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Humpherys was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.