Individual
FAITH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 RODGER BROOKE DR, FT SAM HOUSTON, TX 78234
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101252680
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101252680
VA
208D00000X
General Practice Physician
0101252680
VA
Other
Enumeration date
05/12/2011
Last updated
02/01/2022
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