Individual
KARLA J. KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2271 COUNTY ROAD 898, CUSHING, TX 75760-4317
(936) 326-5175
Mailing address
PO BOX 67, SACUL, TX 75788-0067
(903) 721-2703
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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