Individual
KELLY JEAN STAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP, LP
Contact information
Practice address
10329 OLD EAGLE RIVER LN, MCKINNEY, TX 75072-3356
(469) 387-8932
Mailing address
10329 OLD EAGLE RIVER LN, MCKINNEY, TX 75072-3356
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/24/2023
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