Individual
DR. KELLY SHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384-4167
(362) 664-8009
(936) 266-4775
Mailing address
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384-4167
(936) 266-4909
(936) 266-4775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S1273
TX
207RC0000X
Cardiovascular Disease Physician
Primary
S1273
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
08/01/2024
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