Lally, Kevin P

Lally, Kevin P is an individual health care provider with primary practice located at 6410 Fannin St 1400, Houston TX 77030-3000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Lally, Kevin P can be contacted via phone (832) 325-7234.

Contact Information

Primary practice address
6410 Fannin St 1400 Houston TX 77030-3000
Phone: (832) 325-7234
Fax: (713) 512-2221
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H9668 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X H9668 Texas

Profile Details

NPI number 1013949635
LBN Legal business name Lally, Kevin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 3rd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013949635 NPPES
Texas MEDICAID 137118905
Texas MEDICAID 137118917
Texas Other 137118918
Texas Other 82M033
Texas Other 81Z193
Texas Other 137118901

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