Individual
MRS. MARIE T KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2630 WEST FWY, FORT WORTH, TX 76102-7100
(817) 877-2677
Mailing address
2630 WEST FWY, FORT WORTH, TX 76102-7100
(817) 877-2677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E6822
TX
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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