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1275151102
KELLY GREENWOOD
FORT WORTH, TX
NPI
1275151102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA13727)
Enumeration Date
2020-07-07
Last Update Date
2024-06-16
Business Address
KELLY GREENWOOD PA-C
1401 W PULASKI ST
FORT WORTH, TX 76104-2717
Phone number: 682-885-8012
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Mailing Address
KELLY GREENWOOD PA-C
PO BOX 99213
FORT WORTH, TX 76199-0213
Phone number: 682-885-4446
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