Doctor Name: | CRYSTAL KELLY |
NPI Number: | 1194008375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | P0986 |
Business Practice Address: | 1900 Scenic Dr 3326 Georgetown, TX - 786267724 |
Business Phone Number: | 8777005722 |
Business Fax Number: | |
Mailing Address: | 205 E University Ave, Suite 200 GEORGETOWN |
State: | TX |
Postal Code: | 786266814 |
Phone Number: | 8778005722 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 06/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | P0986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |