Individual
KELLY BETH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
9774 TWIN CREEK DR, DALLAS, TX 75228-3647
(512) 791-6460
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP134348
TX
Other
Enumeration date
09/12/2017
Last updated
09/09/2022
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