Individual
KACEY COLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
504 N ROCKWALL AVE, TERRELL, TX 75160-2115
(214) 924-4360
Mailing address
1403 TALLEY RD, GARLAND, TX 75044-3523
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99606
TX
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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