Individual
KELLI CRISP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
804 W MONTGOMERY ST, WILLIS, TX 77378-8830
(936) 890-8000
(936) 890-9000
Mailing address
4015 I 45 N STE 220, CONROE, TX 77304-5076
(936) 441-1122
(936) 494-4440
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
728510
TX
Other
Enumeration date
06/11/2019
Last updated
11/27/2023
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