Individual
BRIAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
(903) 596-3161
Mailing address
701 OLYMPIC PLAZA CIR, TYLER, TX 75701-1950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1301313
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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