Individual
KELLY JUDE MIKUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(832) 556-6351
(713) 799-9598
Mailing address
4401 GARTH RD, BAYTOWN, TX 77521-2122
(832) 556-6351
(713) 799-9598
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1190918
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1190918
TX
Other
Enumeration date
02/13/2025
Last updated
02/27/2026
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