| Kellcy Medical Group, P.a. | |
|
204 Camp Willow Rd New Braunfels TX 78130-1805 | |
| (830) 627-9208 | |
| (830) 625-0353 |
| Full Name | Kellcy Medical Group, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Camp Willow Rd, New Braunfels, Texas |
| Authorized Official Name and Position | Martha Brandenburg (BILLING ADMIN) |
| Authorized Official Contact | 8306279208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellcy Medical Group, P.a. 206 Camp Willow Rd New Braunfels TX 78130-1805 Ph: (830) 620-7744 | Kellcy Medical Group, P.a. 204 Camp Willow Rd New Braunfels TX 78130-1805 Ph: (830) 627-9208 |
| NPI Number | 1881813806 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881813806 | NPI | - | NPPES |
| 143316101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K5088 (Texas) | Primary |
| 208000000X | Pediatrics | K5088 (Texas) | Secondary |
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