Individual
DR. STEPHEN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 RIVER POINTE DR STE 240, CONROE, TX 77304-2861
(936) 760-1900
(936) 441-1907
Mailing address
1501 RIVER POINTE DR STE 240, CONROE, TX 77304-2861
(936) 760-1900
(936) 441-1907
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F9659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144800
—
TX
Enumeration date
02/27/2007
Last updated
07/08/2007
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