Kelly, Jacqueline

Kelly, Jacqueline is an individual health care provider with primary practice located at 300 E 8Th St G-159, Austin TX 78701-3233. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Kelly, Jacqueline can be contacted via phone (512) 587-0065.

Contact Information

Primary practice address
300 E 8Th St G-159 Austin TX 78701-3233
Fax: (512) 469-7854
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X F6266 Texas

Profile Details

NPI number 1699774505
LBN Legal business name Kelly, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers