| Robert H Kelly Md Pllc | |
|
929 College Ave Fort Worth TX 76104-3011 | |
| (817) 336-3432 | |
| Not Available |
| Full Name | Robert H Kelly Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 929 College Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Robert Hart Kelly (DOCTOR) |
| Authorized Official Contact | 8173363432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert H Kelly Md Pllc 929 College Ave Fort Worth TX 76104-3011 Ph: () - | Robert H Kelly Md Pllc 929 College Ave Fort Worth TX 76104-3011 Ph: (817) 336-3432 |
| NPI Number | 1609413046 |
|---|---|
| Provider Enumeration Date | 12/04/2019 |
| Last Update Date | 12/04/2019 |
| Medicare PECOS PAC ID | 2769818277 |
|---|---|
| Medicare Enrollment ID | O20200131001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609413046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Hart Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619944485 PECOS PAC ID: 3173647997 Enrollment ID: I20100901000072 |
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