NPI 1013542372
Samuel Kelly
Practice location
- Address
- 100 Hillcrest Medical Blvd, Waco, TX 76712-8897
- Phone
- (254) 202-2000
- Mailing address
- PO Box 844658, Dallas, TX 75284-4658
Registered specialties (2)
Anesthesiologist Assistant
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1013542372
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2020
- Record last updated
- 27 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.