Kelly, Ethan

Kelly, Ethan is an individual health care provider with primary practice located at 18511 Highlander Medics St , Fort Bliss TX 79906-5327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kelly, Ethan can be contacted via phone (915) 742-7777.

Contact Information

Primary practice address
18511 Highlander Medics St Fort Bliss TX 79906-5327
Phone: (915) 742-7777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X V8298 Texas

Profile Details

NPI number 1255088068
LBN Legal business name Kelly, Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2022
Last updated Aug 28th, 2025 - about last year

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.

Request for update

Popular Providers