Kelly, Randall

Kelly, Randall is an individual health care provider with primary practice located at 701 W 5Th St , Odessa TX 79763-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Kelly, Randall can be contacted via phone (432) 335-5233.

Contact Information

Primary practice address
701 W 5Th St Odessa TX 79763-4206
Phone: (432) 335-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G2743 Texas

Profile Details

NPI number 1851374946
LBN Legal business name Kelly, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 11th, 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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