Individual
KELLIE HORN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 COUNTY ROAD 3325, MOUNT PLEASANT, TX 75455-7727
(903) 563-0280
Mailing address
142 COUNTY ROAD 3325, MOUNT PLEASANT, TX 75455-7727
(903) 563-0280
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
148784
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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