Tjelmeland, Kelly Eugene
Tjelmeland, Kelly Eugene is an individual health care provider with primary practice located at 4220 Bull Creek Rd , Austin TX 78731-6026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Tjelmeland, Kelly Eugene can be contacted via phone (512) 617-7500.Contact Information
Primary practice address
4220 Bull Creek Rd
Austin TX 78731-6026
Phone: (512) 617-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | J7860 | Texas |
Profile Details
| NPI number | 1003900119 |
|---|---|
| LBN Legal business name | Tjelmeland, Kelly Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | May 22nd, 2008 - about 18 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 | 1003900119 | NPPES |
| Texas | MEDICAID | 110753404 | |
| Texas | Other | 8AQ830 |
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