Individual
KELLIE ABBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 E SOUTHLAKE BLVD STE 300, SOUTHLAKE, TX 76092-6350
(817) 873-0590
(817) 873-0591
Mailing address
1100 E SOUTHLAKE BLVD STE 300, SOUTHLAKE, TX 76092-6350
(817) 873-0590
(817) 873-0591
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP130839
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP130839
LICENSE
TX
Enumeration date
04/19/2016
Last updated
06/17/2019
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