Individual
AMANDA LAM-KELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5917 BELT LINE RD, DALLAS, TX 75254-7703
(972) 726-6464
(972) 726-6444
Mailing address
5917 BELT LINE RD, DALLAS, TX 75254-7703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17093
TX
Other
Enumeration date
01/08/2024
Last updated
04/13/2025
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