Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Matilda Denise Kelley, BSN, RN, CLT

Individual provider Registered Nurse · NPI 1194503391

Mrs. Matilda Denise Kelley, BSN, RN, CLT is a Registered Nurse in Vidor, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2023
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2750 Highway 12
Vidor, TX 77662-3435
Phone: (409) 659-7306
Fax: (409) 422-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 769373 (TX)

Record details

NPI number1194503391
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , RN , CLT
Sole proprietorYes
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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