Individual
SHANNON KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1600 JOSEPH DR, BRYAN, TX 77802-1502
(979) 821-7527
Mailing address
1600 JOSEPH DR, BRYAN, TX 77802-1502
(979) 821-7527
(979) 821-7528
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP126306
TX
Other
Enumeration date
09/04/2014
Last updated
07/25/2016
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