Individual
KELLY D RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACPNP
Contact information
Practice address
1935 MOTOR ST, CHILDRENS DALLAS, DALLAS, TX 75235-7701
(214) 456-8701
Mailing address
504 CREEK TREE DR, DESOTO, TX 75115-4696
(972) 223-4478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
680008
TX
363L00000X
Nurse Practitioner
680008
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
680008
TX
363LP0200X
Pediatric Nurse Practitioner
680008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219503401
—
TX
01
—
219503402
CSHCN
TX
Enumeration date
08/16/2006
Last updated
04/02/2026
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