Individual
MR. KELLY B COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1910 ROSELAND BLVD, TYLER, TX 75701
(902) 533-0644
(903) 533-0644
Mailing address
220 BAYHILLS DR, HIDEAWAY, TX 75771-5059
(903) 882-5117
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
651988
TX
Other
Enumeration date
02/02/2007
Last updated
07/26/2018
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