Individual
KATHERINE CASEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
533772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1419
BCBS
TX
Enumeration date
01/22/2007
Last updated
08/08/2016
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