Individual
DENISE KELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7323 MARBACH RD STE 104, SAN ANTONIO, TX 78227-1905
(210) 231-2586
(210) 231-2583
Mailing address
7323 MARBACH RD STE 104, SAN ANTONIO, TX 78227-1905
(210) 674-0257
(210) 369-9064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396908950
—
TX
01
—
1508813494
GROUP/BILLING NPI#
TX
01
—
363A00000X
INDIVIDUAL TAXONOMY
TX
01
—
PA05852
PHYSICIAN ASSISTANT LICENSE#
TX
Enumeration date
07/03/2008
Last updated
12/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us