# KELLY W LOBB MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851459457
- **Authorized official:** DR. KELLY WENDELL LOBB M.D. (PHYSICIAN)
- **Authorized official phone:** (979) 821-7527

## Contact information

- **Practice address:** 1600 JOSEPH DR, BRYAN, TX 77802-1502
- **Practice address phone:** (979) 821-7527
- **Practice address fax:** (979) 821-7528
- **Mailing address:** 1600 JOSEPH DR, BRYAN, TX 77802-1502
- **Mailing address phone:** (979) 821-7527
- **Mailing address fax:** (979) 821-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | K8939 | TX | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 12/13/2021