Provider Demographics
NPI:1447548482
Name:GIVENS, KELLY JAMES (MD)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:JAMES
Last Name:GIVENS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3417 GASTON AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2031
Mailing Address - Country:US
Mailing Address - Phone:972-993-5000
Mailing Address - Fax:972-993-5000
Practice Address - Street 1:3900 JUNIUS ST STE 415
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1617
Practice Address - Country:US
Practice Address - Phone:972-993-8300
Practice Address - Fax:972-993-8301
Is Sole Proprietor?:No
Enumeration Date:2011-07-12
Last Update Date:2023-08-02
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Provider Licenses
StateLicense IDTaxonomies
TXBP10041428207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine