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Individual
KELLY FELPS
Active
Individual
KELLY FELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G3351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097279604
—
TX
01
—
8U1326
BCBS
TX
01
—
P00409006
RAILROAD MEDICARE PIN
TX
Enumeration date
03/14/2006
Last updated
09/27/2021
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