Individual
KELSI STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 742-8387
Mailing address
2913 ANTHONY DR, SHERMAN, TX 75092-3482
(903) 271-7397
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
872994
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1168725
TX
Other
Enumeration date
06/04/2024
Last updated
09/05/2024
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