Blevins, Kelly W.
Blevins, Kelly W. is an sole proprietor health care provider with primary practice located at 9305 Pinecroft Dr Ste 400 , The Woodlands TX 77380-3482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Blevins, Kelly W. can be contacted via phone (713) 486-8800.Contact Information
Primary practice address
9305 Pinecroft Dr Ste 400
The Woodlands TX 77380-3482
Phone: (713) 486-8800
Fax: (281) 367-1323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | J9468 | Texas |
Profile Details
| NPI number | 1073506739 |
|---|---|
| LBN Legal business name | Blevins, Kelly W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073506739 | NPPES |
| Texas | MEDICAID | 096697002 |
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