Individual
KELLI MCCALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(512) 748-8260
Mailing address
5 APPLEGREEN LN, THE HILLS, TX 78738-1442
(512) 748-8260
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
10/26/2016
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