Lookup NPI Numbers from the NPI Registry
NPI Profile for KELLY LA in FREEPORT, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Rehabilitation |
163WR0400X |
| NPI # | 1306503016 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 11/17/2021 | |
| Last updated | 06/10/2025 - About 12 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY LA
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KELLY LA, RN