Individual
BRIAN P KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1180 SETON PKWY STE 150, KYLE, TX 78640
(512) 324-8320
Mailing address
1601 TRINITY ST STOP 704, AUSTIN, TX 78712-1865
(512) 324-8320
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
R8222
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R8222
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301099164
MI
Other
Enumeration date
07/06/2011
Last updated
03/20/2019
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