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1962197004
KENDALL KELLY
FORT HOOD, TX
NPI
1962197004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: TX 760920)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
KENDALL KELLY
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-553-6974
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Mailing Address
KENDALL KELLY
36065 SANTA FE AVE
FORT HOOD, TX 76544-5060
Phone number: 254-553-6974
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