Individual
KELLI TAVARES
Active
Individual
KELLI TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19161
HI
208600000X
Surgery Physician
U7529
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
U7529
TX
Other
Enumeration date
06/01/2015
Last updated
08/17/2026
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