Individual
KRISTEN ALISE KHETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4670 AMESBURY DR APT 5105, DALLAS, TX 75206-5341
(281) 787-6453
Mailing address
4670 AMESBURY DR APT 5105, DALLAS, TX 75206-5341
(281) 787-6453
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1071740
TX
Other
Enumeration date
03/01/2022
Last updated
08/16/2023
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