Kelly, John M

Kelly, John M is an individual health care provider with primary practice located at 1635 North Loop W , Houston TX 77008-1532. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kelly, John M can be contacted via phone (713) 867-2066.

Contact Information

Primary practice address
1635 North Loop W Houston TX 77008-1532
Phone: (713) 867-2066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P3014 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X P3014 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2007-0514 New Mexico

Profile Details

NPI number 1437146370
LBN Legal business name Kelly, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 21st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437146370 NPPES
New Mexico MEDICAID 683523

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