Individual
LAUREN KJOLHEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3910
(210) 704-7922
Mailing address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-3910
(210) 704-7922
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S1431
TX
Other
Enumeration date
03/23/2016
Last updated
06/19/2019
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