Individual
KELLEY KENNEDY SCHULZE
Active
Individual
KELLEY KENNEDY SCHULZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
650862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275726853
CS CLINIC NPI
TX
05
—
154467801
—
TX
01
—
1649265646
BRYAN-COLLEGE STATION CLINIC NPI
TX
01
—
1821185299
AGENCY NPI
TX
05
—
187842301
—
TX
Enumeration date
07/27/2009
Last updated
11/16/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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