Jason Alexander Kelly M.D.

NPI 1033277876 - Family Medicine - 207Q00000X

NPI Details
NPI 1033277876
Gender Male
Enumeration Date 12/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
149 HART ST
SHEPPARD AFB TX, 76311-3477, US
Phone (940) 676-6855
Fax
Business Location
149 HART ST.
SHEPPARD AFB TX, 76311, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number M2364
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According to our database, Dr. Jason Alexander Kelly M.D. NPI is 1033277876, taxonomy code is 207Q00000X and license number is M2364, license state is located at Texas. Jason Alexander Kelly M.D. physically located at 149 Hart St, Sheppard Afb TX, 76311-3477. NPI Number Jason Alexander Kelly M.D. has the Individual type.

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1033277876 NPI number is provided on an as is basis without warranty of any kind. 1033277876 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Alexander Kelly M.D. are for informational purposes only.