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General NPI Number Information
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NPI Number | 1942491139
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Entity Type | Individual
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Provider Name | KELLY LYNNE BIRT MD
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 27700 NORTHWEST FWY STE 280
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City | CYPRESS
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State | TX
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Zip | 77433-6766
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Country | US
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Telephone | 281-213-5218
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Fax | 281-746-9567
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Provider Business Mailing Address
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Address Line | 448 W 19TH ST # 667
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City | HOUSTON
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State | TX
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Zip | 77008-3914
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Country | US
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Telephone | 281-213-5218
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Fax | 281-746-9567
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | N9678
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BP1-0026611
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License Number State | TX
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