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Individual
KEVIN JOSEPH KELLY
Active
Individual
KEVIN JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
717463
TX
Other
Enumeration date
11/05/2013
Last updated
10/04/2023
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