Individual
RYAN P KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6342 PHELAN BLVD, BEAUMONT, TX 77706-6150
(281) 783-7182
Mailing address
2925 BRIARPARK DR STE 575, HOUSTON, TX 77042-3776
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
901556
TX
363L00000X
Nurse Practitioner
Primary
1016151
TX
363LF0000X
Family Nurse Practitioner
1016151
TX
Other
Enumeration date
08/04/2020
Last updated
07/15/2022
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