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Individual

MR. KELLY D KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACA, NBC-H.I.S.

Contact information

Practice address
3320 PECAN VALLEY DR, SUITE E., TEMPLE, TX 76502-1569
(254) 742-0580
(254) 742-0967
Mailing address
3320 PECAN VALLEY DR, SUITE E., TEMPLE, TX 76502-1569
(254) 742-0580
(254) 742-0967

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
TX50601
TX

Other

Enumeration date
05/03/2007
Last updated
06/25/2008
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