KENDALL KELLY
NPI 1962197004
Military Health Care Provider in Fort Hood, TX
- Individual
- Female
- Military Health Care Provider
About KENDALL KELLY
This page provides the complete NPI Profile along with additional information for Kendall Kelly, a provider established in Fort Hood, Texas with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1962197004 assigned on April 2023. The practitioner's primary taxonomy code is 171000000X with license number 760920 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago. Kendall Kelly operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1962197004 Verify this NPI
- Provider Name
- KENDALL KELLY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 36065 SANTA FE AVE FORT HOOD, TX 76544
- Location Phone
- (254) 553-6974
- Mailing Address
- 36065 SANTA FE AVE FORT HOOD, TX 76544
- Mailing Phone
- (254) 553-6974
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-05-2023
- Last Update Date
- 04-05-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- License No.
- 760920
- License State
- TX
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
FORT HOOD, TX 76544
FORT HOOD, TX 76544
FORT HOOD, TX 76544
FORT HOOD, TX 76544
FORT HOOD, TX 76544
FORT HOOD, TX 76544
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962197004, enumerated as an "individual" on April 05, 2023.
The provider is located at 36065 SANTA FE AVE FORT HOOD, TX 76544 and the phone number is (254) 553-6974.
Military Health Care Provider with taxonomy code 171000000X.
