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Individual
DR. RANDALL KELLY
Active
Individual
DR. RANDALL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G2743
TX
Other
Enumeration date
11/22/2005
Last updated
07/11/2007
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