Kendall Kelly

NPI #1962197004 in Fort Hood, Texas

Provider Information

NPI Number
1962197004
Entity Type
Individual
Name
Kendall Kelly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider
Enumeration Date
Apr 5, 2023
Last Updated
Apr 5, 2023

Practice Location

Address
36065 SANTA FE AVE
State
Texas
ZIP Code
76544-5060
Phone
(254) 553-6974

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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