Individual
DR. JOSEPH FRANCIS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2632 BROADWAY ST, SUITE 102 NORTH, SAN ANTONIO, TX 78215-1137
(210) 224-1971
(210) 593-5992
Mailing address
4383 MEDICAL DR, SAN ANTONIO, TX 78229-3307
(210) 593-5700
(210) 593-5992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01059468A
IN
208600000X
Surgery Physician
Primary
P9378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412749YYPE
MEDICARE PTAN
TX
Enumeration date
02/11/2006
Last updated
07/01/2016
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