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Kelly Renee Reagan, N.P.

Nurse Practitioner, Women's Health in Austin, TX. Individual provider (NPI-1).

NPI number1861695728
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861695728
Entity type
Individual (NPI-1)
Name
Mrs. Kelly Renee Reagan
Credential
N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health583325TXYes

Practice location

1301 W 38th St
Ste. 109
Austin, TX 78705-1000

Phone 512-533-4171 · Fax 512-452-7947

Mailing address

1301 W 38th St
Ste. 109
Austin, TX 78705-1000

Phone 512-533-4171 · Fax 512-452-7947

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