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Lisa Kelly, PA-C
Medical Physician Assistant in Grand Prairie, Texas
NPI 1801187158

Lisa Kelly is a Medical Physician Assistant based in Grapevine, TX and is specialized in Medical. Lisa Kelly practices in Grand Prairie, TX and has the professional credentials of PA-C. The NPI Number for Lisa Kelly is 1801187158 and holds a License No. PA05811 (Texas).

The current practice location address for Lisa Kelly is 2740 N Hwy 360, Grand Prairie, TX and can be reached out via phone at 972-606-8300.

Location: 2740 N Hwy 360, Grand Prairie, TX, 76051-6275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801187158
Provider Name
Lisa Kelly
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2740 N Hwy 360, Grand Prairie, TX, 76051-6275
Phone Number
972-606-8300
Fax Number
Provider Enumeration Date
04/20/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2740 N Hwy 360
City
Grand Prairie
State
Texas
Zip
75050-6403
Phone Number
972-606-8300
Fax Number
person
Provider Business Mailing Address Details
Address
2740 N Hwy 360
City
Grand Prairie
State
Texas
Zip
75050-6403
Phone Number
972-606-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA05811 (Texas)
Definition
Definition to come...
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