Kelly, Christopher W.

Kelly, Christopher W. is an individual health care provider with primary practice located at 697 Louisiana Rd , Dyess Afb TX 79607-1141. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Kelly, Christopher W. can be contacted via phone (325) 696-4262.

Contact Information

Primary practice address
697 Louisiana Rd Dyess Afb TX 79607-1141
Phone: (325) 696-4262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X R861157 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 44039 Wyoming

Profile Details

NPI number 1558605337
LBN Legal business name Kelly, Christopher W.
Credentials FNP-C APRN, MSN, MSM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Jul 24th, 2023 - 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.

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