Individual
MS. KELLY ANN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4402
(214) 345-6789
Mailing address
7455 COUNTY ROAD 273, TERRELL, TX 75160-7569
(214) 766-2840
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1056420
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1056420
TX
Other
Enumeration date
10/07/2021
Last updated
01/31/2024
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