Provider First Line Business Practice Location Address:
5420 KELL WEST BLVD
Provider Second Line Business Practice Location Address:
KELL WEST REGIONAL HOSPITAL
Provider Business Practice Location Address City Name:
WICHITA FALLS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-692-5888
Provider Business Practice Location Address Fax Number:
940-691-4071
Provider Enumeration Date:
03/19/2007