Provider Demographics
NPI:1891888400
Name:DEMPSEY, KELLY S (MD)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:S
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13811 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4903
Mailing Address - Country:US
Mailing Address - Phone:713-772-1200
Mailing Address - Fax:281-491-0426
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:SUITE 360
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:713-772-1200
Practice Address - Fax:281-491-0426
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL2638208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148702705Medicaid
TXP00375788OtherMEDICARE RR
TX7720729OtherAETNA
TX5775122OtherCIGNA
TX5775122OtherCIGNA
TX7720729OtherAETNA