Individual
KELLY M TARPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05809
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10013547
AMERIGROUP
TX
05
—
154190601
—
TX
01
—
8K5359
BCBS
TX
Enumeration date
12/01/2005
Last updated
07/11/2011
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