Individual
KRYSTAL KELLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5570 FM 423 STE 250, FRISCO, TX 75036-8929
(469) 200-2109
Mailing address
5570 FM 423 STE 250, FRISCO, TX 75036-8929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2616-0226
TX
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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