Doctor Name: | MICHELE A NEDELKA |
NPI Number: | 1003079138 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 0116020811 |
Business Practice Address: | 1001 Water St Suite J-100 Kerrville, TX - 780283523 |
Business Phone Number: | 8302573131 |
Business Fax Number: | 8302573161 |
Mailing Address: | 1001 Water St, Suite J-100 KERRVILLE |
State: | TX |
Postal Code: | 780283523 |
Phone Number: | 8302573131 |
Fax Number: | 8302573161 |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116020811 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |