Individual
ALLAN ROWAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
929 COLLEGE AVE, FORT WORTH, TX 76104-3011
(817) 334-0003
(817) 334-0624
Mailing address
929 COLLEGE AVE, FORT WORTH, TX 76104-3011
(817) 334-0003
(817) 334-0624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G6952
TX
207RI0200X
Infectious Disease Physician
G6952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114883503
—
TX
Enumeration date
06/09/2005
Last updated
06/12/2024
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