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Richard Allen Kellett SR., LSA/CFA/CST
Obstetrics Physician in Fort Worth, Texas
NPI 1467567339

Richard Allen Kellett SR. is a Obstetrics Physician based in Burleson, TX and is specialized in Obstetrics. Richard Allen Kellett SR. practices in Fort Worth, TX and has the professional credentials of LSA/CFA/CST. The NPI Number for Richard Allen Kellett SR. is 1467567339 and holds a License No. SA00126 (Texas).

The current practice location address for Richard Allen Kellett SR. is 1301 Pennsylvania Ave, Fort Worth, TX and can be reached out via phone at 817-882-2000.

Location: 1301 Pennsylvania Ave, Fort Worth, TX, 76097-0594
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467567339
Provider Name
Richard Allen Kellett SR.
Credential
LSA/CFA/CST
Provider Entity Type
Individual
Gender
Male
Address
1301 Pennsylvania Ave, Fort Worth, TX, 76097-0594
Phone Number
817-882-2000
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-882-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1301 Pennsylvania Ave
City
Fort Worth
State
Texas
Zip
76104-2122
Phone Number
817-882-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
SA00126 (Texas)
Definition
Definition to come...
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