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DAVID C KELLY PA
NPI 1154348753
Physician Assistant in Fort Worth, TX

Active since July 17, 2006
BEN HOGAN CENTER, 800 5TH AVE., SUITE 410, FORT WORTH, TX 76104(817) 332-6092(817) 332-6015 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David C Kelly Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID C KELLY PA (NPI 1154348753) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA02492) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1154348753
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVID C KELLYCredential: PA
Location AddressBEN HOGAN CENTER, 800 5TH AVE., SUITE 410Fort Worth, TX 76104
Mailing AddressPo Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 332-6015
Phone(817) 332-6092
Fax(817) 332-6015
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1154348753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA02492
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
BEN HOGAN CENTER, Fort Worth, TX 76104
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Other Identifiers 2

Medicaid181681101TX
OtherP00416662Railroad Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Kelly's NPI number?

The NPI number for David Kelly is 1154348753. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is David Kelly located?

David Kelly practices at Ben Hogan Center 800 5th Ave., Suite 410, Fort Worth, TX 76104. The listed phone number is (817) 332-6092.

What is David Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for David Kelly was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.