Provider Demographics
NPI:1952635013
Name:STARNES, MICHAEL KELLY (OPA-C)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:KELLY
Last Name:STARNES
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Gender:M
Credentials:OPA-C
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Mailing Address - Street 1:217 COUNTY ROAD 3350
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-8771
Mailing Address - Country:US
Mailing Address - Phone:318-518-1150
Mailing Address - Fax:
Practice Address - Street 1:2300 CLEAR CREEK RD STE 203
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5404
Practice Address - Country:US
Practice Address - Phone:254-628-9090
Practice Address - Fax:254-628-1744
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant