Individual provider · Type 1 NPI

Brenda Killen

Driver · Fort Worth, TX

NPI number 1104544006 Active

Practice location

11016 Briaroaks Dr
Fort Worth, TX 76140-5580

Call (682) 715-1145 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X27237520 (TX)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1104544006

Brenda Killen's National Provider Identifier is 1104544006, issued on Aug 16, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 2, 2023.