Individual
KELLIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4400 STATE HIGHWAY 121, LEWISVILLE, TX 75056-4561
(469) 834-6638
Mailing address
PO BOX 1915, AZLE, TX 76098-1915
(903) 815-3160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679932
TX
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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