person
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. You can also correspond with Samuel Kelly through the mailing address at PO BOX 844658, DALLAS, TX - 75284-4658 (mailing address contact number: 254-724-2111).

Location: 100 Hillcrest Medical Blvd, Waco, TX, 75284-4658
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
State
Zip
76712-8897
Phone Number
254-202-2000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Hillcrest Medical Blvd
City
State
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
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
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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