Individual
ALEXANDREA CATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N BECKLEY AVE STE 352, DALLAS, TX 75203-1270
(214) 943-2249
(214) 943-8213
Mailing address
1411 N BECKLEY AVE STE 352, DALLAS, TX 75203-1270
(214) 943-2249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
861329
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1024508
TX
363LP2300X
Primary Care Nurse Practitioner
1024508
TX
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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