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Individual
EMMALENA KELLY
Active
Individual
EMMALENA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
W7247
TX
363A00000X
Physician Assistant
2045
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
07/28/2016
Last updated
07/14/2026
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