Individual
KELSEY DILLENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 400, AUSTIN, TX 78723-3078
(512) 708-1234
(512) 708-4567
Mailing address
1301 BARBARA JORDAN BLVD STE 400, AUSTIN, TX 78723-3078
(512) 708-1234
(512) 708-4567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
806561
TX
208M00000X
Hospitalist Physician
AP132631
TX
363L00000X
Nurse Practitioner
Primary
AP132631
TX
363LP0200X
Pediatric Nurse Practitioner
AP132631
TX
Other
Enumeration date
08/14/2016
Last updated
06/23/2026
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