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Kelly Kullenberg, LVN
NPI 1982186433 · on the registry since 2018
Practice
- Address
- 3508 Far West Blvd
Austin, TX 78731 - Phone
- (512) 828-3990
- Organisation at this address
- Brian D. Tucker, Dmd, Pc
Austin Manual Therapy Associates, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- Licensed Vocational Nurse
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-31
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