Kelly, Marie T

Kelly, Marie T is an individual health care provider with primary practice located at 2630 West Fwy , Fort Worth TX 76102-7100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kelly, Marie T can be contacted via phone (817) 877-2677.

Contact Information

Primary practice address
2630 West Fwy Fort Worth TX 76102-7100
Phone: (817) 877-2677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X E6822 Texas

Profile Details

NPI number 1497757819
LBN Legal business name Kelly, Marie T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 18 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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