Individual
DR. KELSEY K. SHERBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2015
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-9000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N3306
TX
208M00000X
Hospitalist Physician
N3306
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204523901
—
TX
01
—
204523902
CSHCN
TX
Enumeration date
01/16/2008
Last updated
10/11/2018
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