Individual
KELLY DON WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5220 SE LOOP 286, PARIS, TX 75460
(903) 401-8349
(903) 680-8050
Mailing address
3515 RICHMOND RD, TEXARKANA, TX 75503-0711
(903) 791-9355
(903) 831-7258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138972
TX
363LF0000X
Family Nurse Practitioner
AP138972
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
08/13/2018
Last updated
01/21/2026
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