Individual
DR. KELLY EILEEN CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 WALLACE BLVD, NICU, AMARILLO, TX 79106-1799
(806) 212-6428
Mailing address
1600 WALLACE BLVD, NICU, AMARILLO, TX 79106-1799
(806) 212-6428
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
Q3655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62835
ALBANY MEDICAL CENTER
—
Enumeration date
05/05/2009
Last updated
09/01/2015
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