Kelly Neilson

NPI #1457220592 in Granite Shoals, Texas

Provider Information

NPI Number: 1457220592
Entity Type: Individual
Name: Kelly Neilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 4, 2025
Last Updated: Nov 4, 2025

Practice Location

Address: 1505 LAKECREST DR
City: Granite Shoals
State: Texas
ZIP Code: 78654-2789
Phone: (512) 695-3385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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