Individual provider · Type 1 NPI

Matilda Denise Kelley, BSN, RN, CLT

Registered Nurse · Vidor, TX

NPI number 1194503391 Active

Practice location

2750 Highway 12
Vidor, TX 77662-3435

Fax (409) 422-0050

Mailing address

2699 Marion St
Vidor, TX 77662-8192

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X769373 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194503391

Matilda Denise Kelley, BSN, RN, CLT's National Provider Identifier is 1194503391, issued on Sep 19, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Vidor, TX. The record was last updated on Sep 24, 2024.