Individual
GLENDA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8902 W STATE HIGHWAY 56, SAVOY, TX 75479-3460
(903) 449-9018
Mailing address
8902 W STATE HIGHWAY 56, SAVOY, TX 75479-3460
(903) 449-9018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1011395
TX
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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