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Individual
KELLY A SPEARS-SHEA
Active
Individual
KELLY A SPEARS-SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
583275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041592902
—
TX
05
—
041592903
—
TX
05
—
041592904
—
TX
05
—
041592908
—
TX
05
—
041592909
—
TX
05
—
041592910
—
TX
05
—
189628401
—
TX
Enumeration date
05/04/2006
Last updated
01/07/2011
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