Kelly, Allan Rowan

Kelly, Allan Rowan is an sole proprietor health care provider with primary practice located at 929 College Ave , Fort Worth TX 76104-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kelly, Allan Rowan can be contacted via phone (817) 334-0003.

Contact Information

Primary practice address
929 College Ave Fort Worth TX 76104-3011
Phone: (817) 334-0003
Fax: (817) 334-0624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G6952 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G6952 Texas

Profile Details

NPI number 1598769333
LBN Legal business name Kelly, Allan Rowan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jun 12th, 2024 - about 6 months 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 1598769333 NPPES
Texas MEDICAID 114883503

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