Individual
CHRISTINA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6146 WOODLAND DR, DALLAS, TX 75225-2835
(214) 497-1891
Mailing address
6146 WOODLAND DR, DALLAS, TX 75225-2835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
960896
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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