Nix, Kelly S

Nix, Kelly S is an individual health care provider with primary practice located at 1000 Fm 300 , Levelland TX 79336-6235. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Nix, Kelly S can be contacted via phone (806) 894-7842.

Contact Information

Primary practice address
1000 Fm 300 Levelland TX 79336-6235
Fax: (806) 894-3378
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4498 Texas

Profile Details

NPI number 1295027993
LBN Legal business name Nix, Kelly S
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2011
Last updated May 12th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295027993 NPPES
Texas MEDICAID 121513902

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