Individual
DR. DANIELLE ELIZABETH KELVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2614 FORUM BLVD STE 100, COLUMBIA, MO 65203-5431
(573) 445-5366
Mailing address
623 W MAPLE ST, JOHNSON CITY, TN 37604-6605
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2020011369
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2018
Last updated
08/17/2021
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