Individual
KELLEY L GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1055 ADA ST, SAN ANTONIO, TX 78223-1703
(210) 358-5515
(210) 358-5530
Mailing address
PO BOX 734812, DALLAS, TX 75373-4812
(210) 358-9500
(210) 358-9183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q5360
TX
390200000X
Student in an Organized Health Care Education/Training Program
2012018674
MO
Other
Enumeration date
06/13/2012
Last updated
01/29/2021
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