KELLY NEILSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1457220592

Practice Address

1505 LAKECREST DR
Granite Shoals, TX 78654

Phone: (512) 695-3385

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1457220592 is the National Provider Identifier for KELLY NEILSON, a Student in an Organized Health Care Education/Training Program provider located in Granite Shoals, TX. This NPI was enumerated on November 4, 2025.
KELLY NEILSON practices at 1505 LAKECREST DR, Granite Shoals, TX 78654.

Quick Facts

NPI
1457220592
Type
Individual
Enumerated
Nov 4, 2025
Last Updated
Nov 4, 2025

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