Individual
ZACHARY LAMAR KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HOSPITAL DR STE 201, CORSICANA, TX 75110-2489
(903) 641-4870
(903) 641-4877
Mailing address
810 N ZANG BLVD, DALLAS, TX 75208-4263
(682) 234-1903
(214) 941-1153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M9401
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M9401
TX
Other
Enumeration date
06/14/2008
Last updated
09/11/2020
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