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Kendall Kelly
Military Health Care Provider in Fort Hood, Texas
NPI 1962197004

Kendall Kelly is a Military Health Care Provider based in Fort Hood, TX. Kendall Kelly practices in Fort Hood, TX. The NPI Number for Kendall Kelly is 1962197004 and holds a License No. 760920 (Texas).

The current practice location address for Kendall Kelly is 36065 Santa Fe Ave, Fort Hood, TX and can be reached out via phone at 254-553-6974.

Location: 36065 Santa Fe Ave, Fort Hood, TX, 76544-5060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962197004
Provider Name
Kendall Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
36065 Santa Fe Ave, Fort Hood, TX, 76544-5060
Phone Number
254-553-6974
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36065 Santa Fe Ave
City
Fort Hood
State
Texas
Zip
76544-5060
Phone Number
254-553-6974
Fax Number
person
Provider Business Mailing Address Details
Address
36065 Santa Fe Ave
City
Fort Hood
State
Texas
Zip
76544-5060
Phone Number
254-553-6974
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
760920 (Texas)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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