Search › Texas › 101YA0400X
Kelly Burdick, LCDC
NPI 1477823664 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4937 Dilworth Ct
Ft Worth, TX 76116 - Phone
- (817) 730-1482
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas