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General NPI Number Information
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NPI Number | 1336706910
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Entity Type | Individual
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Provider Name | NKEM A KELLY
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Gender | Female
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7001 COORPORATE DRIVE SUITE 215
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 361-878-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 SAGE BLUFF AVE
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City | RICHMOND
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State | TX
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Zip | 77469
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Country | US
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Telephone | 832-363-1971
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202918
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License Number State | TX
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