Phillip W. Kelly, Md, PA

NPI #1003909532 in Wichita Falls, Texas

Provider Information

NPI Number: 1003909532
Entity Type: Organization
Organization Name: Phillip W. Kelly, Md, PA
Primary Specialty: Specialist
Enumeration Date: Oct 2, 2006
Last Updated: Feb 7, 2008

Practice Location

Address: 1704 11TH ST
City: Wichita Falls
State: Texas
ZIP Code: 76301-5020
Phone: (940) 723-1274

Authorized Official

Name: DR. PHILLIP W. KELLY, MD
Title: PRESIDENT
Phone: (940) 723-1274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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