MEDICARE: LAUREN MARY KELL 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	163WW0101X	Ambulatory Women's Health Care Registered Nurse	1166529	TX

General Provider Information

NPI Number	:	1295663458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MARY KELL RN

Provider Business Mailing Address
First Line	:	5900 WESTMINSTER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78723-2651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6500 N MOPAC EXPY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-3282
Country	:	US
Telephone Number	:	512-451-0149
Fax Number	:

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

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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