Individual
DENISE KELLER LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS, FNKF
Contact information
Practice address
5939 HARRY HINES BLVD SUITE 700, DALLAS, TX 75390
(214) 645-6416
(214) 645-1945
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 645-6416
(214) 645-6272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187719301
—
TX
Enumeration date
06/29/2007
Last updated
09/12/2019
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