Individual
PATRICK GUENETTE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
301 HESTERS CROSSING RD, SUITE 160, ROUND ROCK, TX 78681-6946
(512) 310-1928
(512) 310-9180
Mailing address
301 HESTERS CROSSING RD, SUITE 160, ROUND ROCK, TX 78681-6946
(512) 310-1928
(512) 310-9180
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1264892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1264892
1264892
TX
Enumeration date
08/17/2015
Last updated
08/17/2015
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