Individual
KELLY ROSE KIRTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA, RRT
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
4111 FAIRMOUNT ST UNIT 1011, DALLAS, TX 75219-3303
(313) 820-1388
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
08/23/2022
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