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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN KELLY BLUE, M.D.

Active Sole Proprietor

SUSAN KELLY BLUE, M.D. is a Specialist healthcare provider located in FORT WORTH, Texas. NPI 1578540431 is currently active in the NPPES registry. Verify at CMS.

Specialist · FORT WORTH, TX

Registration Details

NPI Number
1578540431
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2005 (20.59059734697 yrs)
Last Updated
May 11, 2011
License
E1506 (TX)
Sole Proprietor
Yes

Practice Information

Address
1001 WASHINGTON AVE
FORT WORTH, TX, 761043049
Browse TX providers · Browse ZIP 76104
Phone
8173347922
Fax
8178702144
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FORT WORTH, TX

Name Credential NPI
DR. KALMAN S NARAYAN MD 1487651691
DR. RONALD L ANTINONE M.D. 1659371490
DR. ADAM B. SMITH D.O. 1033109608
LAURIE BOQUET DORY M.D. 1417930900
DR. JONATHAN J CICHOCKI M.D. 1861476376
MR. WALTER CLAY TOWNSLEY ATC/L 1114991981
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.