KELLY M. HUMPHERYS MD – NPI #1831272319
Family Medicine

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.

KELLY HUMPHERYS is a physician located in RAMONA, OK. NPPES has assigned the NPI number 1831272319 to KELLY HUMPHERYS on October 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KELLY M. LIETZ. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Oct 18, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY HUMPHERYS below.

NPI Profile for
KELLY M. HUMPHERYS

NPI Number
1831272319
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY M. HUMPHERYS
Former Name: KELLY M. LIETZ
Credentials
MD
Primary location
400 WYANDOTTE
RAMONA, OK 74061-1337
Phone: (918) 536-2104 Fax: (918) 536-2203
Mailing address
P.O. BOX 420
400 WYANDOTTE
RAMONA, OK 74061-1337
Phone: (918) 536-2104 Fax: (918) 536-2203
Sole Proprietor
No
Updated
Identifiers

Identifiers for KELLY HUMPHERYS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAR BLUE SHIELD #AR5N728
MEDICAIDAR163634001
MEDICAIDMO206226201
MEDICAIDOK200207550A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OK 26599

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.