Individual provider · Type 1 NPI

Callie Kinsley, CPNP

Pediatric Nurse Practitioner · Canton, TX

NPI number 1063801736 Active

Practice location

387 S Trade Days Blvd
Canton, TX 75103-3314

Fax (866) 728-9963

Mailing address

10670 N Central Expy Ste 110
Dallas, TX 75231-2105

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP127322 (TX)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1063801736

Callie Kinsley, CPNP's National Provider Identifier is 1063801736, issued on Jan 17, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Canton, TX. The record was last updated on Sep 14, 2026.