Individual provider · Type 1 NPI

Kelby Nixon, DO

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1720874043 Active

Practice location

3900 University Blvd
Tyler, TX 75799-6600

Mailing address

4055 Hogan Dr Apt 3707
Tyler, TX 75709-6964

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720874043

Kelby Nixon, DO's National Provider Identifier is 1720874043, issued on Apr 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Apr 15, 2025.