Individual
DR. KELLY BAYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11455746-1205
UT
2084P0800X
Psychiatry Physician
84454
GA
2084P0800X
Psychiatry Physician
E-12896
AR
2084P0800X
Psychiatry Physician
Primary
Q0410
TX
Other
Enumeration date
07/07/2010
Last updated
03/10/2020
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