Eisaman, Kelly J

Eisaman, Kelly J is an individual health care provider with primary practice located at 3060 Communications Pkwy Ste 100 , Plano TX 75093-8450. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Eisaman, Kelly J can be contacted via phone (972) 312-0607.

Contact Information

Primary practice address
3060 Communications Pkwy Ste 100 Plano TX 75093-8450
Phone: (972) 312-0607
Fax: (972) 312-0805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP114213 Texas

Profile Details

NPI number 1730163593
LBN Legal business name Eisaman, Kelly J
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 21st, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730163593 NPPES
Texas Other 8N9199 BLUE CROSS PROV NUMBER

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