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Samuel Kelly
Student in an Organized Health Care Education/Training Program in Waco, Texas
NPI 1013542372

Samuel Kelly is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Samuel Kelly practices in Waco, TX. The NPI Number for Samuel Kelly is 1013542372 and holds a License No. 32697602 (Texas).

The current practice location address for Samuel Kelly is 100 Hillcrest Medical Blvd, Waco, TX and can be reached out via phone at 254-202-2000.

Location: 100 Hillcrest Medical Blvd, Waco, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013542372
Provider Name
Samuel Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 Hillcrest Medical Blvd, Waco, TX, 75284-4658
Phone Number
254-202-2000
Fax Number
Provider Enumeration Date
03/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Hillcrest Medical Blvd
City
Waco
State
Texas
Zip
76712-8897
Phone Number
254-202-2000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hillcrest Medical Blvd
City
Waco
State
Texas
Zip
76712-8897
Phone Number
254-202-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
()
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
32697602 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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