Individual
KELLIE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7500 ROLLING BROOK DR APT 512, FRISCO, TX 75034-5446
(214) 566-2531
Mailing address
7500 ROLLING BROOK DR APT 512, FRISCO, TX 75034-5446
(214) 566-2531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
949397
TX
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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