Kelmed Health & Wellness Clinic PLLC
Nurse Practitioner, Family in Italy, TX. Organization (NPI-2).
NPI number1376901561
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1376901561
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelmed Health & Wellness Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Feb 3, 2016
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP125530 | TX | Yes |
Practice location
204 E Main StItaly, TX 76651-3517
Phone 972-393-0909 · Fax 817-635-8446
Mailing address
Po Box 304Italy, TX 76651-0304
Phone 972-393-0909 · Fax 817-635-8446
Authorized official
Eunice Asah
Owner
6822275035
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