Kelly Anne Averill
Child Neurologist
4502 Medical Dr
San Antonio
, Texas 78229-4402
Kelly Anne Averill
Child Neurologist
4502 Medical Dr
San Antonio
, Texas 78229-4402
(210) 358-5437
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Kelly Anne Averill
- 7703 Floyd Curl Dr
- San Antonio, TX
- Zip : 78229-3901
- Phone : (210) 358-5437
Second Address
- Kelly Anne Averill
- 4502 Medical Dr
- San Antonio, TX
- Zip : 78229-4402
- Fax : (210) 358-5483
- Phone : (210) 358-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | Q4892 | TX |
National Provider Identifier
| NPI | 1306191879 |
|---|---|
| Provider Name | Kelly Anne Averill |
| First Address | San Antonio, TX 78229-3901 |
| Second Address | San Antonio, TX 78229-4402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2012 |
| Last Update Date | 08/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 347222701 | (05) | 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.