Kelly Gonzalez, is a
Licensed Vocational Nurse based in White Oak, Texas. Kelly Gonzalez is licensed to practice in Texas (license number 329538) and her current practice location is
700 N White Oak Rd Lot B5, White Oak, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 240-1363.
NPI number for Kelly Gonzalez is 1780147470 and her current mailing address is 700 N White Oak Rd Lot B5, White Oak, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780147470.
Provider's Profile
| Full Name | Kelly Gonzalez |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 700 N White Oak Rd Lot B5, White Oak, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780147470
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 04/09/2019
Medical Identifiers
Medical identifiers for Kelly Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780147470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 329538 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Gonzalez,
700 N White Oak Rd Lot B5,
White Oak, TX 75693-2565
Ph: () - | Kelly Gonzalez,
700 N White Oak Rd Lot B5,
White Oak, TX 75693-2565
Ph: (903) 240-1363 |
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