Doctor Name: | DR. KALEE MACKENZIE SALVATO |
NPI Number: | 1538345301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | P1590 |
Business Practice Address: | 2619 Se Military Dr Suite 101 San Antonio, TX - 782234312 |
Business Phone Number: | 2107041777 |
Business Fax Number: | |
Mailing Address: | Po Box 47154, SAN ANTONIO |
State: | TX |
Postal Code: | 782657154 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | P1590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |