Individual provider · Type 1 NPI

Kelley Amadasun Iv

Home Health Aide · Dallas, TX

NPI number 1629010970 Active

Practice location

905 Green Cove Ln
Dallas, TX 75232-1639

Call (214) 374-6722 Map

Fax (214) 376-3909

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1629010970

Kelley Amadasun Iv's National Provider Identifier is 1629010970, issued on Jun 12, 2006. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 13, 2026.