MEDICARE: KELLY GARVEY

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	133N00000X	Nutritionist		TX

General Provider Information

NPI Number	:	1699611822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY GARVEY

Provider Business Mailing Address
First Line	:	29202 BENTFORD MANOR CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-6062
Country	:	US
Telephone Number	:	832-457-0560
Fax Number	:

Provider Business Practice Location Address
First Line	:	29202 BENTFORD MANOR CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-6062
Country	:	US
Telephone Number	:	832-457-0560
Fax Number	:

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ KELLY GARVEY ” Practice Location

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