Kelley Amadasun IV

NPI #1629010970 in Dallas, Texas

Provider Information

NPI Number: 1629010970
Entity Type: Individual
Name: Kelley Amadasun IV
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Home Health Aide
Enumeration Date: Jun 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 905 GREEN COVE LN
City: Dallas
State: Texas
ZIP Code: 75232-1639
Phone: (214) 374-6722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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