Kelly Bouie

NPI #1023561537 in Irving, Texas

Provider Information

NPI Number
1023561537
Entity Type
Individual
Name
Kelly Bouie
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Aug 1, 2016
Last Updated
Aug 1, 2022

Practice Location

Address
3050 REGENT BLVD STE 200
City
Irving
State
Texas
ZIP Code
75063-5806
Phone
(214) 689-8079

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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