Individual
KELLY H. LAMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(682) 429-5689
(817) 569-5249
Mailing address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(682) 429-5689
(817) 569-5249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
608317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
TAXONOMY
TX
Enumeration date
10/27/2009
Last updated
10/27/2009
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