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Contact Information

KELLIE EDWARDSEN, AGACNP
221 W COLORADO BLVD
DALLAS, TX75208-2363
 Phone: 214-934-8424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KELLIE EDWARDSEN · (Female)

NPI Number 1982248548
Status Active
Credentials AGACNP
Entity Individual
Enumeration date 11/06/2019
Last updated 11/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AP143845
Hospital affiliation(s)
  • MEDICAL CITY DALLAS HOSPITAL - (Acute Care)
    7777 FOREST LANE
    DALLAS, TX 75230
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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