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NPI Code Detail

MEDICARE: KAELA THURMAN NP & ASSOCIATE PLLC

MEDICARE: KAELA THURMAN NP & ASSOCIATE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1235658790
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAELA THURMAN NP & ASSOCIATE PLLC
Provider Business Mailing Address
First Line : 12701 W SH 29 STE 5
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-6348
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12635 W STATE HIGHWAY 29
Second Line :
City : LIBERTY HILL
State : TX
Zip : 78642-2767
Country : US
Telephone Number : 512-548-5373
Fax Number : 512-548-5374
Authorized Official
Title or Position : PRESIDENT
Name : KAELA M THURMAN
Credential : NP
Telephone Number : 512-548-5373
Provider Enumeration Date : 09/15/2017
Last Update Date : 07/31/2025

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