Individual
KEIONDA RUNNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 590-8000
Mailing address
4415 HARVEST LN, SACHSE, TX 75048-4695
(940) 367-2913
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP124281
TX
Other
Enumeration date
05/20/2014
Last updated
10/11/2016
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