Individual
KELSEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 N TAMMYE LN, MADISONVILLE, TX 77864-3064
(903) 880-8668
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1008873
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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