Individual
KELLEY ELAINE PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
5000 SCHERTZ PKWY STE 400, SCHERTZ, TX 78154-1457
(210) 495-7246
(210) 495-7245
Mailing address
PO BOX 117475, CARROLLTON, TX 75011-7475
(210) 495-7246
(210) 495-7245
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
709818
TX
Other
Enumeration date
01/01/2008
Last updated
05/23/2016
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