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Individual

MRS. KELLEY LIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
777441
TX
367500000X
Certified Registered Nurse Anesthetist
777441
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
9266479
FL

Other

Enumeration date
01/18/2010
Last updated
06/04/2018
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