Individual
MICHAEL FREDRICK KELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3009A HIGHWAY 30 W, HUNTSVILLE, TX 77340-3517
(936) 437-3570
Mailing address
3009A HIGHWAY 30 W, HUNTSVILLE, TX 77340-3517
(512) 268-0114
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G6189
TX
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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