Edwardsen, Kellie

Edwardsen, Kellie is an individual health care provider with primary practice located at 221 W Colorado Blvd , Dallas TX 75208-2363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Edwardsen, Kellie can be contacted via phone (214) 934-8424.

Contact Information

Primary practice address
221 W Colorado Blvd Dallas TX 75208-2363
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP143845 Texas

Profile Details

NPI number 1982248548
LBN Legal business name Edwardsen, Kellie
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2019
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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