Kelly, Crystal Denise
Kelly, Crystal Denise is an individual health care provider with primary practice located at 17500 W Grand Pkwy S Memorial Hermann- Sound Physicians, Sugar Land TX 77479-2562. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kelly, Crystal Denise can be contacted via phone (281) 725-5070.Contact Information
Primary practice address
17500 W Grand Pkwy S Memorial Hermann- Sound Physicians
Sugar Land TX 77479-2562
Phone: (281) 725-5070
Fax: (281) 725-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036099345 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01055817A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N3785 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N3785 | Texas |
Profile Details
| NPI number | 1538153283 |
|---|---|
| LBN Legal business name | Kelly, Crystal Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Aug 19th, 2010 - about 14 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 | 1538153283 | NPPES |
| Indiana | MEDICAID | 200273460 |
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