Individual
DR. MICHAEL D KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., MBA
Contact information
Practice address
1125 CYPRESS STATION DR STE C, HOUSTON, TX 77090-3055
(832) 602-2030
(281) 205-4659
Mailing address
1125 CYPRESS STATION DR STE C, HOUSTON, TX 77090-3055
(832) 602-2030
(281) 205-4659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N4515
TX
207VG0400X
Gynecology Physician
N4515
TX
207VX0000X
Obstetrics Physician
N4515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TPI283232102
—
TX
Enumeration date
08/21/2006
Last updated
03/24/2023
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