Kellum Medical Group, Pa is a Pediatric Nurse Practitioner based in San Antonio, TX and is specialized in Pediatrics. Kellum Medical Group, Pa practices in San Antonio, TX. The NPI Number for Kellum Medical Group, Pa is 1508813494 and holds a License No. (Texas).
The current practice location address for Kellum Medical Group, Pa is 7323 Marbach Rd Ste 104, San Antonio, TX and can be reached out via phone at 210-674-0257 and via fax at 210-369-9064.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1026258 | 01 | TX | CLIA - KELLUM MEDICAL GROUP, PA - PEDIATRICS |
| 1174518625 | 01 | TX | DANIEL H KELLUM SR., DO - NPI |
| CH6982 | 01 | TX | MEDICARE RR GROUP PTAN# |
| 1265413264 | 01 | TX | ALICE T. BLACKMON, NP-C / NPI# |
| 1588641377 | 01 | TX | SALVADOR VAZQUEZ, MD / NPI# |
| 193200000X | 01 | TX | GROUP TAXONOMY |
| 1346646510 | 01 | TX | MATTHEW ARISMENDEZ, PA-C / NPI# |
| R-14400 | 01 | TX | RADIOLOGY & X-RAY CERT# |
| 00295N | 01 | TX | MEDICARE GROUP PTAN# |
| 1063070308 | 01 | TX | MANUELA BERRY, NP-C / NPI# |
| 45D0671939 | 01 | TX | CLIA - KELLUM MEDICAL GROUP, PA |
| 1366623639 | 01 | TX | KIMBERLY 'KIM' DIAZ, PA-C |
| 1508813494 | 05 | TX |
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