Individual
KELLIE EDWARDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
221 W COLORADO BLVD, DALLAS, TX 75208-2363
(214) 934-8424
Mailing address
6808 SOUTHPOINT DR, DALLAS, TX 75248-2226
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143845
TX
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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