Individual
KELLY WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
5228 W PLANO PKWY, PLANO, TX 75093-5005
(972) 250-5700
Mailing address
5228 W PLANO PKWY, PLANO, TX 75093-5005
(972) 250-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
03901
TX
Other
Enumeration date
03/20/2006
Last updated
04/01/2008
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