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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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
1	171000000X	Military Health Care Provider		1195167	TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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