Mitchell Kelly is one of 876 nurse practitioners practicing in Fort Worth, Texas .
Mitchell Kelly practices with University Of Texas Southwestern Medical Center At Dallas.
Registry record (NPPES)
NPI
1134696453
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
5323 Harry Hines Blvd Mailcode 8590
Enumerated
Oct 24, 2018
Record last updated
Oct 24, 2018
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
400 W Magnolia AveFort Worth , TX 76104
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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