Individual
KELLY MARLENE PERSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
1604 HOSPITAL PARKWAY, SUITE 402, BEDFORD, TX 76022
(817) 399-1622
(817) 540-0843
Mailing address
8849 RANDOM ROAD, FT WORTH, TX 76179
(817) 236-4276
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
254126
TX
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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