| Doctor Name: | KELLY LYNNE MCALVANY |
| NPI Number: | 1992026868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | |
| Business Practice Address: | 703 E Marshall Ave Suite 5007 Longview, TX - 756015500 |
| Business Phone Number: | 9033154455 |
| Business Fax Number: | 9033152466 |
| Mailing Address: | Po Box 4207, LONGVIEW |
| State: | TX |
| Postal Code: | 756064207 |
| Phone Number: | 9033154119 |
| Fax Number: | 9033154130 |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 10/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |