Kassiopeia Mcelroy

NPI #1942606785 in Richardson, Texas

Provider Information

NPI Number: 1942606785
Entity Type: Individual
Name: Kassiopeia Mcelroy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 851 GREENSIDE DR APT 21201
City: Richardson
State: Texas
ZIP Code: 75080-1164
Phone: (423) 774-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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