Individual
DR. PATRICK F KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K5127
TX
207X00000X
Orthopaedic Surgery Physician
Primary
4778
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171975901
—
TX
05
—
200248040
—
OK
01
—
K5127
TX LICENSE NUMBER
TX
Enumeration date
05/24/2006
Last updated
08/14/2009
Update your record
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