Kellie Marie Reardon, FNP

Nurse practitioner in Victoria, Texas · NPI 1487645404

Kellie Reardon is one of 105 nurse practitioners practicing in Victoria, Texas. Kellie Reardon practices with Lone Star Emergency Associates LLC.

Registry record (NPPES)

NPI
1487645404
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
1301 Wonder World Dr
San Marcos, TX 78666-7533
(512) 753-3796
Enumerated
Oct 31, 2005
Record last updated
Jan 14, 2014
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Nurse Practitioner
Revalidation due
No date set by CMS

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Practice locations

More nurse practitioners in Victoria

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.