IndividualActive
Kelly Whiddon
NPI 1861000648 · Registered Nurse · Quitman, TX
Provider details
- NPI number
- 1861000648
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 689557 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
330 County Road 2150
Quitman, TX 75783-6156
Phone: (903) 497-2855
Approximate (ZIP-level) locationGet directions
Mailing address
330 County Road 2150
Quitman, TX 75783-6156
Registry dates
- Enumerated
- 2020-07-17
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.