Michael Thomas Kelly in Fort Worth - Spinal Cord Injury Medicine
Michael Thomas Kelly - NPI 1063449130
Michael Thomas Kelly is a Spinal Cord Injury Medicine in Fort Worth, Texas. Michael Thomas Kelly practices all healthcare services and medical treatments related to Spinal Cord Injury Medicine. The NPI Number for Michael Thomas Kelly is 1063449130. The last update date is 2019-06-03.
Michael Thomas Kelly's current location address is 6707 Brentwood Stair Rd Ste 600, Fort Worth, Texas. You can contact this provider via phone number 8172849850 and fax number 8177209892. The mailing address for Michael Thomas Kelly is 6707 Brentwood Stair Rd Ste 600, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Thomas Kelly |
|---|---|
| Address | 6707 Brentwood Stair Rd Ste 600, Fort Worth, Texas |
| Phone Number | 8172849850 |
| Fax Number | 8177209892 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1063449130 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2019-06-03 |
Provider Mailing Address Detail
| Address | 6707 Brentwood Stair Rd Ste 600 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761123368 |
| Phone Number | 8172849850 |
| Fax Number | 8177209892 |
Provider's Primary Taxonomy Detail
| Speciality | Spinal Cord Injury Medicine |
|---|---|
| Taxonomy | 2081P0004X |
| Licence No | 2011-01909 |
|
Definition: A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5919524 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Thomas Kelly by the Centers for Medicare & Medicaid Services?
The Michael Thomas Kelly has been issued the NPI (National Provider Identifier) 1063449130, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michael Thomas Kelly's facilities are situated?
The facilities of Michael Thomas Kelly are physically located at the following address: 6707 Brentwood Stair Rd Ste 600, Fort Worth, TX, 761123368.
What is Michael Thomas Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Thomas Kelly's area of specialization is Spinal Cord Injury Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2081P0004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063449130 to Michael Thomas Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1063449130 to Michael Thomas Kelly on 2006-06-26.
When was the information regarding Michael Thomas Kelly most recently updated?
The details pertaining to the Michael Thomas Kelly, including its address, specialty, and other relevant information, were last refreshed on 2019-06-03.
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