Individual
PATRICK KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
(512) 324-9999
(512) 324-0645
Mailing address
1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 78723-3078
(512) 324-9999
(512) 324-0645
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M0454
TX
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
M0454
TX
Other
Enumeration date
07/11/2006
Last updated
09/15/2020
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