Doctor Name: | CALLIE KINSLEY |
NPI Number: | 1063801736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | AP127322 |
Business Practice Address: | 9100 Lakeview Pkwy Rowlett, TX - 750884537 |
Business Phone Number: | 9724123034 |
Business Fax Number: | 9724123695 |
Mailing Address: | 9100 Lakeview Pkwy, ROWLETT |
State: | TX |
Postal Code: | 750884537 |
Phone Number: | 9724123034 |
Fax Number: | 9724123695 |
NPI Enumeration Date: | 01/17/2015 |
NPI Last Update Date: | 02/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP127322 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |