Kelly, Samuel

Kelly, Samuel is an individual health care provider with primary practice located at 100 Hillcrest Medical Blvd , Waco TX 76712-8897. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Kelly, Samuel can be contacted via phone (254) 202-2000.

Contact Information

Primary practice address
100 Hillcrest Medical Blvd Waco TX 76712-8897
Phone: (254) 202-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 32697602 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1013542372
LBN Legal business name Kelly, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2020
Last updated Jan 27th, 2022 - about 2 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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