Kellie Havrilak

NPI 1902026933 · on the registry since 2007

Practice

Address: 9550 Forest Ln
Ste 700
Dallas, TX 75243
Phone: (214) 348-5505
Organisation at this address: Ytn Dme Llc
Monips Dme Llc
Monimed Dme Llc
Okwu Dme Company
Yeluxous Dme Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

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