Individual
JAIMEE N KELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3508 FAR WEST BLVD, AUSTIN, TX 78731-3080
(512) 828-3990
Mailing address
309 SUMMIT RIDGE DR N, LAGO VISTA, TX 78645-8611
(512) 585-7241
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
641135
TX
163WP0200X
Pediatric Registered Nurse
641135
TX
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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