Individual
KELLIE LYNN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13215 DOTSON RD STE 300, HOUSTON, TX 77070-4535
(281) 894-8822
(281) 897-1215
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 998-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1017779
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1017779
TX
Other
Enumeration date
11/06/2020
Last updated
03/30/2022
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