Individual
KELLY A TORNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1820 PRESTON PARK BLVD STE 2400, PLANO, TX 75093-3716
(972) 867-7862
Mailing address
1820 PRESTON PARK BLVD STE 2400, PLANO, TX 75093-3716
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Q3452
TX
2085R0202X
Diagnostic Radiology Physician
Primary
Q3452
TX
390200000X
Student in an Organized Health Care Education/Training Program
02037546
TX
Other
Enumeration date
04/30/2013
Last updated
09/26/2022
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