Individual
KELCEI WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 QUEEN ANNES DR, BURLESON, TX 76028-0515
(682) 232-9595
Mailing address
1423 QUEEN ANNES DR, BURLESON, TX 76028-0515
(682) 232-9595
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
302785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110689
—
TX
Enumeration date
05/11/2020
Last updated
05/11/2020
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