Shelly, Kevin R
Shelly, Kevin R is an individual health care provider with primary practice located at 8140 N Mopac Expy Bldg Iii Suite 210, Austin TX 78759-8837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shelly, Kevin R can be contacted via phone (512) 343-2292.Contact Information
Primary practice address
8140 N Mopac Expy Bldg Iii Suite 210
Austin TX 78759-8837
Phone: (512) 343-2292
Fax: (512) 343-2745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | K6504 | Texas |
Profile Details
| NPI number | 1083656060 |
|---|---|
| LBN Legal business name | Shelly, Kevin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 21st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083656060 | NPPES |
| Texas | Other | 8AG658 | BCBS |
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