Teel, Kelly Tanner

Teel, Kelly Tanner is an individual health care provider with primary practice located at 506 Graham Dr Suite 170, Tomball TX 77375-3346. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Teel, Kelly Tanner can be contacted via phone (281) 259-9943.

Contact Information

Primary practice address
506 Graham Dr Suite 170 Tomball TX 77375-3346
Phone: (281) 259-9943
Fax: (281) 259-9142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA07013 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA07013 Texas

Profile Details

NPI number 1538462619
LBN Legal business name Teel, Kelly Tanner
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2010
Last updated Aug 24th, 2015 - about 9 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 1538462619 NPPES
Texas MEDICAID 297624301
Texas MEDICAID 297624302
Texas Other PA07013

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