Kelly Grace

NPI 1699150169 · on the registry since 2015 · sole proprietor

Practice

Address: 3501 Sheppard Access Rd
Wichita Falls, TX 76306
Phone: (940) 228-5297
Organisation at this address: Lifeline Pediatric Clinics
North Texas Diagnostic Intervention Behavioral Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 103K00000X
103K00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas