IndividualActive
Kelly Stains, CCP, LP
NPI 1104694819 · Perfusionist · Mckinney, TX
Provider details
- NPI number
- 1104694819
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP, LP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
10329 Old Eagle River Ln
Mckinney, TX 75072-3356
Phone: (469) 387-8932
Approximate (ZIP-level) locationGet directions
Mailing address
10329 Old Eagle River Ln
Mckinney, TX 75072-3356
Registry dates
- Enumerated
- 2023-12-13
- Last updated
- 2023-12-24
- Certified
- 2023-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.