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MRS. MATILDA DENISE KELLEY BSN, RN, CLT
NPI 1194503391
Registered Nurse in Vidor, TX

Active since September 19, 2023
2750 HIGHWAY 12, VIDOR, TX 77662(409) 659-7306(409) 422-0050 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Sep 10, 2024, Jul 24, 2024 (3 updates tracked since 2024).

About Mrs. Matilda Denise Kelley Bsn, Rn, Clt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MATILDA DENISE KELLEY BSN, RN, CLT (NPI 1194503391) is an individual registered nurse in Vidor, Texas, licensed in Texas (769373) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1194503391
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. MATILDA DENISE KELLEYCredential: BSN, RN, CLT
Location Address2750 HIGHWAY 12Vidor, TX 77662-3435
Mailing Address2699 Marion StVidor, TX 77662-8192 · (409) 201-5293
Phone(409) 659-7306
Fax(409) 422-0050
Sole ProprietorYes
Enumeration DateSeptember 19, 2023
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1194503391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in TX · 769373
Definition
(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 in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
2750 HIGHWAY 12, Vidor, TX 77662
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLEY'S KARING TOUCH, LLC
Clinic/Center
2750 HIGHWAY 12
VIDOR, TX 77662
Orange County (409) 659-7306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matilda Kelley's NPI number?

The NPI number for Matilda Kelley is 1194503391. It was assigned to this individual provider in the NPPES registry on September 19, 2023.

Where is Matilda Kelley located?

Matilda Kelley practices at 2750 Highway 12, Vidor, TX 77662. The listed phone number is (409) 659-7306.

What is Matilda Kelley's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Matilda Kelley was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.