Individual
DR. KELLY JEAN LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6720 BERTNER ST, HOUSTON, TX 77030-2604
(832) 355-2121
Mailing address
4553 BELLAIRE BLVD, BELLAIRE, TX 77401-4214
(713) 614-6612
(713) 838-0887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K6077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133697609
—
TX
05
—
133697610
—
TX
05
—
133697616
—
TX
05
—
133697617
—
TX
01
—
83836N
BCBS
TX
05
—
9044137
—
CA
Enumeration date
12/07/2005
Last updated
08/03/2020
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