Individual
KATHRYN L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUTE CARE NURSE PRA
Contact information
Practice address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Mailing address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
651221
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP114087
TX
Other
Enumeration date
12/28/2007
Last updated
03/13/2020
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