Individual
MRS. KELLIS DIANE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNS-BC
Contact information
Practice address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-8285
(940) 764-4249
Mailing address
1600 11TH ST, WICHITA FALLS, TX 76301-4300
(940) 764-8285
(940) 764-4249
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
232058
TX
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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