Individual
ANDREA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
2200 LARSTON LN, CEDAR PARK, TX 78613-6035
(480) 688-7225
Mailing address
2200 LARSTON LN, CEDAR PARK, TX 78613-6035
(480) 688-7225
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99578
TX
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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