Keely Nicole Grant Mirle

  • NPI 1093117848
According to our database, the NPI number for Keely Nicole Grant Mirle is 1093117848 and activated since 9 years ago. Keely Nicole Grant Mirle is an individual provider who specializes in Family, and the primary practice location is 855 Montgomery, Fort Worth, TX 76107. You can also contact Keely Nicole Grant Mirle via telephone number is (817) 702-6600. Provider NPI information was last updated on 09/16/2015.

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Overview of Keely Nicole Grant Mirle

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/24/2014
  • Last updated: 09/16/2015

Primary Scrop of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 626608
  • License State: TX

Provider Mailing Address

  • Address: Po Box 99335
    Fort Worth, TX 76199
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 855 Montgomery
    Fort Worth, TX 76107
  • Phone: 817-702-6600
  • Fax:

Scope of Practice

  • Taxonomy Code: 363LF0000X
  • Specialty: Family
  • License Number: 626608
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 345791301
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Keely Nicole Grant Mirle?
  • A: The npi number for Keely Nicole Grant Mirle is 1093117848.
  • Q: What are Keely Nicole Grant Mirle's specialties?
  • A: Keely Nicole Grant Mirle's specialties are Family and different specialities.
  • Q: What is the medical license for Keely Nicole Grant Mirle?
  • A: The medical license number for Keely Nicole Grant Mirle is 626608 and issued in TX in USA.
  • Q: Where is Keely Nicole Grant Mirle practice location?
  • A: Keely Nicole Grant Mirle is practicing at 855 Montgomery, Fort Worth, TX 76107.
  • Q: How to contact Keely Nicole Grant Mirle?
  • A: You can contact Keely Nicole Grant Mirle via 817-702-6600.