Individual
KELLY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6113
(713) 500-0648
Mailing address
6431 FANNIN ST RM 5.170, HOUSTON, TX 77030-1501
(774) 278-0092
(713) 500-0648
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T6076
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
05/16/2022
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