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Individual

MAE ELLEN KELVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
F4153
TX
207VE0102X
Reproductive Endocrinology Physician
Primary
F4153
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129734301
TX
Enumeration date
12/12/2006
Last updated
07/02/2009
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