Individual
KELLY MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19701 KINGWOOD DR BLDG 5, KINGWOOD, TX 77339-3773
(281) 319-4111
(281) 319-4623
Mailing address
19701 KINGWOOD DR BLDG 5, KINGWOOD, TX 77339-3773
(281) 319-4111
(281) 319-4623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TX
363AS0400X
Surgical Physician Assistant
—
TX
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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