Individual
KELSEY DILLENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5202 82ND ST, LUBBOCK, TX 79424-2823
(806) 725-7337
(806) 723-7002
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
806561
TX
208M00000X
Hospitalist Physician
AP132631
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP132631
TX
Other
Enumeration date
08/14/2016
Last updated
04/04/2023
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