Julia R Kellcy
Internist Pediatrician Family Doctor - Hospice and Palliative Medicine
921 Lakeview Blvd
New Braunfels
, Texas 78130-4135
Julia R Kellcy
Internist Pediatrician Family Doctor - Hospice and Palliative Medicine
921 Lakeview Blvd
New Braunfels
, Texas 78130-4135
(830) 625-0353
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
- Internist
- Pediatrician
Languages spoken
- English
Location
First Address
- Julia R Kellcy
- Po Box 311774
- New Braunfels, TX
- Zip : 78131-1774
- Fax : (830) 625-0353
- Phone : (830) 620-7744
Second Address
- Julia R Kellcy
- 921 Lakeview Blvd
- New Braunfels, TX
- Zip : 78130-4135
- Fax : (830) 625-0353
- Phone : (830) 620-7744
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | K5088 | TX |
| N | 207R00000X | Internist | K5088 | TX |
| N | 111NI0900X | Internist | K5088 | TX |
| N | 208000000X | Pediatrician | K5088 | TX |
National Provider Identifier
| NPI | 1265540793 |
|---|---|
| Provider Name | Julia R Kellcy |
| First Address | New Braunfels, TX 78131-1774 |
| Second Address | New Braunfels, TX 78130-4135 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 26/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00343R | KELLCY MEDICAL GROUP MEDICARE NUMBER (01) | TX |
| 1431736-01 | (05) | TX |
| 433161-01 | KELLCY MEDICAL GROUP MEDICAID # (01) | TX |
| 8CR078 | BC/BS OF TEXAS (01) | TX |
| 8F7697 | INDIVIDUAL PTAN # (01) | TX |
| OOY940 | GROUP PTAN (01) | TX |
| P00903522 | RR MEDICARE (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.