Search › Texas › 1041C0700X
Miranda Kelly
NPI 1992255129 · on the registry since 2016
Practice
- Address
- 1518 E Lancaster Ave
Fort Worth, TX 76102 - Phone
- (817) 255-7150
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-12
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