Gorman, Blythe Kelley

Gorman, Blythe Kelley is an individual health care provider with primary practice located at 6565 Fannin St B490, Houston TX 77030-2703. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Gorman, Blythe Kelley can be contacted via phone (713) 441-3496.

Contact Information

Primary practice address
6565 Fannin St B490 Houston TX 77030-2703
Phone: (713) 441-3496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X BP1-0022075 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X BP20035373 Texas

Profile Details

NPI number 1780888347
LBN Legal business name Gorman, Blythe Kelley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jun 20th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780888347 NPPES
Other 2790078923 MYUTMB 2790078923-COMMERCIAL NUMBER

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