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1417215773
KELLY SHIELDS
AUSTIN, TX
NPI
1417215773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.13191-NP)
Enumeration Date
2012-04-24
Last Update Date
2013-10-22
Business Address
Dr. KELLY SHIELDS DNP, FNP-C
1301 W 38TH ST
AUSTIN, TX 78705-1000
Phone number: 512-681-0500
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Mailing Address
Dr. KELLY SHIELDS DNP, FNP-C
3643 PINE NEEDLE CIR
ROUND ROCK, TX 78681-2361
Phone number: 216-288-7672
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