Individual
DR. SCOTT DOUGLAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2610 S IH 35, AUSTIN, TX 78704-5703
(713) 791-1414
Mailing address
2610 S IH 35, AUSTIN, TX 78704-5703
(713) 791-1414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
532715
TX
207W00000X
Ophthalmology Physician
Primary
P2276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321067601
—
TX
Enumeration date
07/07/2009
Last updated
03/07/2023
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