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Shannon Kelley, P.T
NPI 1992056063 · on the registry since 2012
Practice
- Address
- 1012 S Crowley Rd
# C
Crowley, TX 76036 - Phone
- (817) 297-9670
- Organisation at this address
- St Dental Pllc
Simple Dental Pllc
Prochiropractic ClinicInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-28
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