Individual provider · Type 1 NPI
Kelli Twedell, PA-C
Surgical Physician Assistant · Dallas, TX
NPI number
1477059228
Active
Practice location
5744 Lbj Fwy Ste 100
Dallas, TX 75240-6322
Fax (214) 382-9798
Mailing address
PO Box 3409
Pflugerville, TX 78691-3409
Other practice locations
- 7300 Eldorado Pkwy Ste 260, Mckinney, TX 75070-3826 · (972) 747-0440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA11922 (TX) |
Surgical Physician Assistant: Definition to come...
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About NPI 1477059228
Kelli Twedell, PA-C's National Provider Identifier is 1477059228, issued on Apr 2, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Sep 21, 2020.