Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY DAVENPORT BOULDEN, M.D.
ActiveDR. KELLY DAVENPORT BOULDEN, M.D. is a Family Medicine healthcare provider located in FORT WORTH, Texas. NPI 1407820624 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT WORTH, TX
Registration Details
- NPI Number
- 1407820624
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2006 (20.496849440307 yrs)
- Last Updated
- Oct 13, 2008
- License
-
L4258 (TX)
Practice Information
- Address
-
4521 S HULEN STSUITE 200FORT WORTH, TX, 761094948Browse TX providers · Browse ZIP 76109
- Phone
- 8179245252
- Fax
- 8179246060
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in FORT WORTH, TX
| Name | Credential | NPI |
|---|---|---|
| DR. FRANCISCO CHACON | M.D. | 1386647162 |
| BEENA M. TRIVEDI | MD | 1457353500 |
| SUCHITA REDDY | M.D. | 1154325132 |
| DR. PETER GORDON MCDOUGALL | M.D. | 1548264948 |
| DR. MICHAEL LYNN BAILEY | DO | 1215931639 |
| RICKY D EDWARDS | MD | 1457358699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.