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Individual

DR. DUSTIN DWAIN KELM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
5400 LAUREL DR., WACO, TX 76710
(254) 399-6633
Mailing address
PO BOX 184, LORENA, TX 76655-0184
(254) 723-5058
(254) 857-2007

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1237757
TX

Other

Enumeration date
12/12/2013
Last updated
07/24/2018
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