Individual
DR. KALEE MACKENZIE SALVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2619 SE MILITARY DR, SUITE 101, SAN ANTONIO, TX 78223-4312
(210) 704-1777
Mailing address
PO BOX 47154, SAN ANTONIO, TX 78265-7154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P1590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310510803
—
TX
01
—
364078YS33
MEDICARE PTAN
TX
Enumeration date
01/11/2008
Last updated
06/09/2015
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