Individual
DR. JUDIANNE KELLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 FLOYD CURL DR, SAN ANTONIO, TX 78229-3931
(210) 450-9400
(210) 450-6024
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H5714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134627208
—
TX
01
—
134627209
CSHCN
TX
Enumeration date
11/07/2005
Last updated
05/03/2016
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