Phillip W. Kelly, Md, Pa

NPI 1003909532 - Specialist - 174400000X

NPI Details
NPI 1003909532
Enumeration Date 10/02/2006
Last Updated 02/07/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILLIP W. PHILLIP
Position PRESIDENT
Phone (940) 723-1274
Fax (940) 723-1525
Practice Location
1704 11TH ST
WICHITA FALLS TX, 76301-5020, US
Phone (940) 723-1274
Fax (940) 723-1525
Business Location
PO BOX 8169
WICHITA FALLS TX, 76307-8169, US
Phone (940) 723-1274
Fax (940) 723-1525
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1003909532 NPI Number
 

According to our database, Phillip W. Kelly, Md, Pa NPI is 1003909532, taxonomy code is 174400000X Phillip W. Kelly, Md, Pa physically located at 1704 11th St, Wichita Falls TX, 76301-5020. NPI Number 1033115704 has the healthcare provider type.

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1003909532 NPI number is provided on an as is basis without warranty of any kind. 1003909532 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip W. Kelly, Md, Pa are for informational purposes only.