Frasier, Kelly J
Frasier, Kelly J is an sole proprietor health care provider with primary practice located at 350 E Interstate 20 , Arlington TX 76018-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Frasier, Kelly J can be contacted via phone (817) 784-0222.Contact Information
Primary practice address
350 E Interstate 20
Arlington TX 76018-1119
Phone: (817) 784-0222
Fax: (817) 417-0981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M2952 | Texas |
Profile Details
| NPI number | 1609894773 |
|---|---|
| LBN Legal business name | Frasier, Kelly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Apr 20th, 2020 - about 5 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 | 1609894773 | NPPES |
| Texas | MEDICAID | 161608201 |
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