KELLY BLACK

AMARILLO, TX
NPI1881928299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  675500)
Enumeration Date2009-10-01
Last Update Date2018-05-14
Business Address
-- KELLY BLACK
7100 W 9TH AVE
AMARILLO, TX 79106-1704
Phone number: 806-212-0247
Mailing Address
-- KELLY BLACK
5327 N CENTRAL EXPY STE 200
DALLAS, TX 75205-3345
Phone number:
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