Individual
PATRICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNS, AGN-BC, A
Contact information
Practice address
9649 COVEMEADOW DR, DALLAS, TX 75238-1819
(214) 345-6307
Mailing address
9649 COVEMEADOW DR, DALLAS, TX 75238-1819
(214) 345-6307
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
428918
TX
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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