Individual
KIM ADELE PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1705 E 9TH ST, LUBBOCK, TX 79403-5214
(806) 786-0739
Mailing address
8308 N COUNTY ROAD 3240, IDALOU, TX 79329-6012
(806) 786-0739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
829106
TX
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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