Individual
LATRIVIA DAWN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 RYAN RD, DALLAS, TX 75224-3339
(214) 980-2869
(214) 980-2869
Mailing address
814 RYAN RD, DALLAS, TX 75224-3339
(214) 980-2869
(214) 980-2869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1143333
TX
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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