Provider Demographics
NPI:1205375151
Name:RINEY, KELLY DENISE (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:DENISE
Last Name:RINEY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7913 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4700
Mailing Address - Country:US
Mailing Address - Phone:618-409-8806
Mailing Address - Fax:
Practice Address - Street 1:2201 N CENTRAL EXPY STE 125
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2701
Practice Address - Country:US
Practice Address - Phone:214-377-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015577363L00000X
TX1000541363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner