person
Kelly Anne Averill, MD
Neurology with Special Qualifications in Child Neurology Physician in San Antonio, Texas
NPI 1306191879

Kelly Anne Averill is a Neurology with Special Qualifications in Child Neurology Physician based in San Antonio, TX and is specialized in Neurology with Special Qualifications in Child Neurology. Kelly Anne Averill practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Kelly Anne Averill is 1306191879 and holds a License No. (Texas).

The current practice location address for Kelly Anne Averill is 4502 Medical Dr, San Antonio, TX and can be reached out via phone at 210-358-5437 and via fax at 210-358-5483. You can also correspond with Kelly Anne Averill through the mailing address at 7703 FLOYD CURL DR, SAN ANTONIO, TX - 78229-3901 (mailing address contact number: 210-358-5437).

Location: 4502 Medical Dr, San Antonio, TX, 78229-3901
person
Provider Profile Details
NPI Number
1306191879
Provider Name
Kelly Anne Averill
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4502 Medical Dr, San Antonio, TX, 78229-3901
Phone Number
210-358-5437
Fax Number
210-358-5483
Provider Enumeration Date
07/19/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
347222701 05 TX
institution
Provider Business Practice Location Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-5437
Fax Number
210-358-5483
person
Provider Business Mailing Address Details
Address
4502 Medical Dr
City
State
Zip
78229-4402
Phone Number
210-358-5437
Fax Number
210-358-5483
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
Q4892 (Texas)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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