Christine Kellam R.N11

NPI 1568774420 - Registered Nurse - 163W00000X

NPI Details
NPI 1568774420
Gender Female
Enumeration Date 07/08/2010
Last Updated 07/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3330 S LANCASTER RD
DALLAS TX, 75216-4531, US
Phone (214) 371-6639
Fax (214) 372-6199
Business Location
5731 LAZY RIVER DR
DALLAS TX, 75241-2206, US
Phone (214) 376-0714
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Texas
License Number 517241
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According to our database, Christine Kellam R.N11 NPI is 1568774420, taxonomy code is 163W00000X and license number is 517241, license state is located at Texas. Christine Kellam R.N11 physically located at 3330 S Lancaster Rd, Dallas TX, 75216-4531. NPI Number Christine Kellam R.N11 has the Individual type.

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1568774420 NPI number is provided on an as is basis without warranty of any kind. 1568774420 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Kellam R.N11 are for informational purposes only.