Individual
NICOLINE M KILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15215 BERRY TRL APT 203, DALLAS, TX 75248-6312
(469) 363-3525
Mailing address
15215 BERRY TRL APT 203, DALLAS, TX 75248-6312
(469) 363-3525
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1171269
TX
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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