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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598769333 | NPPES |
| Texas | MEDICAID | 114883503 |
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