# KELLY A SPEARS-SHEA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497703219
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 583275 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 01/07/2011

## 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 |