Individual
KELSEY ANN FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-0000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
390200000X
NM
208000000X
Pediatrics Physician
MD2020-0571
NM
208000000X
Pediatrics Physician
Primary
T7918
TX
Other
Enumeration date
04/15/2017
Last updated
04/16/2023
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