Individual
KELLI CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
755 S BECKHAM AVE, TYLER, TX 75701-1903
(903) 532-1400
Mailing address
755 S BECKHAM AVE, TYLER, TX 75701-1903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
915280
TX
Other
Enumeration date
06/11/2020
Last updated
05/12/2021
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