Individual
MRS. MALLORY MCKEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4210 BENNER, KYLE, TX 78640-2230
(512) 298-1645
(512) 298-1795
Mailing address
4210 BENNER, KYLE, TX 78640-2230
(512) 298-1645
(512) 298-1795
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1011080
TX
Other
Enumeration date
08/28/2020
Last updated
03/25/2021
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