Individual
KELLY M SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2306 GUTHRIE RD STE 150, GARLAND, TX 75043-5078
(972) 226-9585
(972) 226-9580
Mailing address
2306 GUTHRIE RD STE 150, GARLAND, TX 75043-5078
(972) 226-9585
(972) 226-9580
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
ATP4377
TX
Other
Enumeration date
06/06/2016
Last updated
08/01/2019
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