Individual
ANDREW MICHAEL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22698 PROFESSIONAL DR STE 100, KINGWOOD, TX 77339-5701
(281) 312-8530
Mailing address
22698 PROFESSIONAL DR STE 100, KINGWOOD, TX 77339-5701
(281) 312-8530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14096
TX
Other
Enumeration date
01/14/2021
Last updated
02/26/2023
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