Individual
MRS. KELLIE SUE KANNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP-BC
Contact information
Practice address
4085 OHIO DR STE 100, FRISCO, TX 75035-6245
(972) 406-9911
Mailing address
PO BOX 6665, MCKINNEY, TX 75071-5117
(214) 491-7825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
705982
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1131096
TX
Other
Enumeration date
07/13/2023
Last updated
10/22/2024
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