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Individual

DR. KELLY MICHAEL SANDALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 902-4100
Mailing address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 902-4100

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V1608
TX

Other

Enumeration date
03/23/2022
Last updated
07/29/2024
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