Individual
KELLY C WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2000 MCKENZIE ST, FORT WORTH, TX 76105-3053
(817) 534-0814
Mailing address
2000 MCKENZIE ST, FORT WORTH, TX 76105-3053
(817) 534-0814
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
607991
TX
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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