Individual
MANDY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
Mailing address
7777 FOREST LN STE C840, DALLAS, TX 75230-2594
(214) 274-1676
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1214196
TX
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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