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1376535419
RICHARD JOSEPH KELLY
CROCKETT, TX
NPI
1376535419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F4152)
Enumeration Date
2005-08-16
Last Update Date
2024-10-29
Business Address
RICHARD JOSEPH KELLY MD
1050 E LOOP 304 STE 200
CROCKETT, TX 75835-1814
Phone number: 936-544-5132
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Mailing Address
RICHARD JOSEPH KELLY MD
1050 E LOOP 304 STE 200
CROCKETT, TX 75835-1814
Phone number: 936-544-5132
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