Individual
AMY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-7979
Mailing address
6431 FANNIN ST STE 5.020, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698323
TX
Other
Enumeration date
04/17/2022
Last updated
12/12/2022
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