Organization
DLKPAC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH KELLEY PAC (OWNER)
(903) 778-2942
Entity
Organization
Contact information
Practice address
218 PARK ST, TRINIDAD, TX 75163-6060
(903) 778-2942
(903) 778-2177
Mailing address
245 LAKEVIEW DR, TRINIDAD, TX 75163-2213
(414) 207-3506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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