Individual
MRS. KELLY RENEE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1301 W 38TH ST, STE. 109, AUSTIN, TX 78705-1000
(512) 533-4171
(512) 452-7947
Mailing address
1301 W 38TH ST, STE. 109, AUSTIN, TX 78705-1000
(512) 533-4171
(512) 452-7947
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
583325
TX
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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