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Individual
KELLI C. GERSHON
Active
Individual
KELLI C. GERSHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC-PCM
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
627907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167829401
—
TX
Enumeration date
10/13/2006
Last updated
11/06/2018
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