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Individual
KELLY DENISE HODGE
Active
Individual
KELLY DENISE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP134276
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP134276
TX
363LF0000X
Family Nurse Practitioner
AP134276
TX
363LF0000X
Family Nurse Practitioner
PENDING
TX
363LG0600X
Gerontology Nurse Practitioner
AP134276
TX
Other
Enumeration date
05/31/2017
Last updated
10/08/2026
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