Individual
CHRISTINE KELLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N11
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-6639
(214) 372-6199
Mailing address
5731 LAZY RIVER DR, DALLAS, TX 75241-2206
(214) 376-0714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
517241
TX
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
517241
TX
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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