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Individual

MRS. KAITLYN KELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 236-5724
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
05/25/2021
Last updated
05/25/2021
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