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Individual

KELLEY DEMING MATHIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
720 HOSPITAL DR, ANDREWS, TX 79714-3617
(432) 464-2200
(432) 464-2177
Mailing address
720 HOSPITAL DR, ANDREWS, TX 79714-3617
(432) 464-2200
(432) 464-2177

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
804014
TX
163WM0705X
Medical-Surgical Registered Nurse
804014
TX

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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