Kellcy, Julia R
Kellcy, Julia R is an individual health care provider with primary practice located at 204 Camp Willow Rd , New Braunfels TX 78130-1805. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kellcy, Julia R can be contacted via phone (210) 857-5934.Contact Information
Primary practice address
204 Camp Willow Rd
New Braunfels TX 78130-1805
Phone: (210) 857-5934
Fax: (830) 625-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K5088 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K5088 | Texas |
Profile Details
| NPI number | 1265540793 |
|---|---|
| LBN Legal business name | Kellcy, Julia R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jun 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265540793 | NPPES |
| Texas | Other | 8F7697 | INDIVIDUAL PTAN # |
| Texas | Other | OOY940 | INDIVIDUAL PTAN # |
| Texas | Other | P00903522 | INDIVIDUAL PTAN # |
| Texas | Other | 00343R | INDIVIDUAL PTAN # |
| Texas | Other | 433161-01 | INDIVIDUAL PTAN # |
| Texas | MEDICAID | 1431736-01 | INDIVIDUAL PTAN # |
| Texas | Other | 8CR078 | INDIVIDUAL PTAN # |
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