Individual
KALI JAN FEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
(254) 897-1429
Mailing address
188 PR 4246, CLIFTON, TX 76634-5252
(254) 717-0726
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675572
—
TX
Enumeration date
08/23/2018
Last updated
08/23/2018
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