Individual
KELSIE JORDYN SPECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
505 S NOLEN DR, SOUTHLAKE, TX 76092-9167
(817) 424-1525
Mailing address
505 S NOLEN DR STE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13404
TX
Other
Enumeration date
07/05/2019
Last updated
08/04/2025
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