Individual
MS. KEELY ALLISON KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2028 E BEN WHITE BLVD STE 240-4949, AUSTIN, TX 78741-6966
(512) 655-3578
Mailing address
5409 DENNIS AVE, FORT WORTH, TX 76114-4501
(817) 715-2822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1045862
TX
363LF0000X
Family Nurse Practitioner
1045862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045862
TEXAS BOARD OF NURSING
TX
Enumeration date
02/01/2021
Last updated
10/13/2023
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