Individual
MR. KELLY SPRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5602 48TH ST APT 27, LUBBOCK, TX 79414-1435
(806) 995-5046
Mailing address
5602 48TH ST APT 27, LUBBOCK, TX 79414-1435
(806) 995-5046
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1008356
TX
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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