Individual
DR. KELLY GALINA ELTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(617) 504-4927
Mailing address
25836 GREEN TER, SAN ANTONIO, TX 78255-2377
(617) 504-4927
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
240952
MA
207L00000X
Anesthesiology Physician
249638
MA
207L00000X
Anesthesiology Physician
Primary
P8663
TX
207R00000X
Internal Medicine Physician
240952
MA
Other
Enumeration date
06/12/2009
Last updated
04/30/2020
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