MISS SHAUNA KELLY PT NPI 1982900114

NPI Information

  • NPI: 1982900114
  • Provider Name: MISS SHAUNA KELLY, PT
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • Address: 1600 JOSEPH DR
    BRYAN, TX
    ZIP 77802
  • Phone: (979) 776-2411

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NPI Details

MISS Shauna Kelly, PT is a military health care provider in Bryan, TX. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MISS Shauna Kelly, PT NPI is 1982900114. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1600 JOSEPH DR
BRYAN, TX
ZIP 77802-502
Phone: (979) 776-2411
Fax: (979) 776-4986

The enumeration date for this NPI number is 2/5/2011 and was last updated on 2/5/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171000000XMilitary Health Care Provider1195167TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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