Individual
MRS. KELLY NICOLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13819 COUNTY ROAD 1131, FLINT, TX 75762-2419
(903) 952-6368
Mailing address
13819 COUNTY ROAD 1131, FLINT, TX 75762-2419
(903) 952-6368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
855575
TX
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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