Samuel Kelly

NPI #1013542372 in Waco, Texas

Provider Information

NPI Number
1013542372
Entity Type
Individual
Name
Samuel Kelly
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Anesthesiologist Assistant
Enumeration Date
Mar 6, 2020
Last Updated
Jan 27, 2022

Practice Location

Address
100 HILLCREST MEDICAL BLVD
City
Waco
State
Texas
ZIP Code
76712-8897
Phone
(254) 202-2000

Specialties & Taxonomy Codes

Specialty
Anesthesiologist Assistant
Student in an Organized Health Care Education/Training Program

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