MEDICARE: KERRI LINDLEY RN

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
1	163W00000X	Registered Nurse	787578	TX
2	163WH0200X	Home Health Registered Nurse	787578	TX

General Provider Information

NPI Number	:	1871431221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI LINDLEY RN

Provider Business Mailing Address
First Line	:	350 REIMANN RD
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77905-3755
Country	:	US
Telephone Number	:	832-833-2752
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 SPRING GREEN BLVD
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-7104
Country	:	US
Telephone Number	:	361-582-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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