Individual
KELLY H. SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 MEDICAL PARKWAY, BLDG. B #220, CEDAR PARK, TX 78613-7464
(512) 260-1581
(512) 528-7940
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
N2565
TX
208000000X
Pediatrics Physician
LL25051
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203699801
—
TX
05
—
203699802
—
TX
05
—
204494302
—
TX
Enumeration date
06/22/2006
Last updated
06/18/2021
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