Individual provider · Type 1 NPI

Kim Adele Pelletier, RN

Registered Nurse · Lubbock, TX

NPI number 1194655175 Active

Practice location

1705 E 9th St
Lubbock, TX 79403-5214

Mailing address

8308 N County Road 3240
Idalou, TX 79329-6012

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X829106 (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 1194655175

Kim Adele Pelletier, RN's National Provider Identifier is 1194655175, issued on May 21, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lubbock, TX. The record was last updated on May 21, 2026.