# TODD LAWRENCE KELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306927900
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | K8775 | TX | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 2019-00087 | NC | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | K8775 | TX | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 06/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037266604 | — | TX |
| 05 | — | 037266605 | — | TX |
| 05 | — | 1306927900 | — | NC |
| 05 | — | 1888397 | — | LA |
| 05 | — | 37266601 | — | TX |
| 01 | — | 8AC774 | BLUE CROSS | TX |
| 01 | — | P00616427 | MEDICARE RAILROAD | TX |