Provider Demographics
NPI:1154309714
Name:KELLY, SARAH V (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:V
Last Name:KELLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:VAN EPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5503 FM 359 RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7834
Mailing Address - Country:US
Mailing Address - Phone:281-828-0675
Mailing Address - Fax:
Practice Address - Street 1:5503 FM 359 RD
Practice Address - Street 2:SUITE C
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7834
Practice Address - Country:US
Practice Address - Phone:281-828-0675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2011-0823207R00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine