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Kelly Chang
Student in an Organized Health Care Education/Training Program in Longview, Texas
NPI 1619666575

Kelly Chang is a Student in an Organized Health Care Education/Training Program based in Longview, TX. Kelly Chang practices in Longview, TX. The NPI Number for Kelly Chang is 1619666575 and holds a License No. (Texas).

The current practice location address for Kelly Chang is 701 E Marshall Ave Ste 400, Longview, TX and can be reached out via phone at 903-315-1696.

Location: 701 E Marshall Ave Ste 400, Longview, TX, 75601-0035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619666575
Provider Name
Kelly Chang
Credential
Provider Entity Type
Individual
Gender
Female
Address
701 E Marshall Ave Ste 400, Longview, TX, 75601-0035
Phone Number
903-315-1696
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
701 E Marshall Ave Ste 400
City
Longview
State
Texas
Zip
75601-5595
Phone Number
903-315-1696
Fax Number
person
Provider Business Mailing Address Details
Address
701 E Marshall Ave Ste 400
City
Longview
State
Texas
Zip
75601-5595
Phone Number
903-315-1696
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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