Individual
KELSEY ELIZABETH REEKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4240 INTERNATIONAL PKWY, SUITE 154, CARROLLTON, TX 75007-1970
(469) 574-0464
(469) 574-0471
Mailing address
3315 COLORADO BLVD, STE 102, DENTON, TX 76210-6885
(940) 320-1708
(940) 565-5457
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP129339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354727501
—
TX
Enumeration date
10/13/2015
Last updated
01/28/2020
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