DAVID C KELLY

FORT WORTH, TX
NPI1154348753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA02492)
Enumeration Date2006-07-17
Last Update Date2010-02-18
Business Address
-- DAVID C KELLY PA
BEN HOGAN CENTER 800 5TH AVE., SUITE 410
FORT WORTH, TX 76104
Phone number: 817-332-6092
Mailing Address
-- DAVID C KELLY PA
PO BOX 961205
FORT WORTH, TX 76161-1205
Phone number: 817-740-8400
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