Individual
MRS. KELLY HORTON MONTIVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 HIGH TECH DR, GEORGETOWN, TX 78626
(512) 863-8600
(512) 863-8641
Mailing address
602 HIGH TECH DR, GEORGETOWN, TX 78626
(512) 863-8600
(512) 863-8641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
N0995
TX
Other
Enumeration date
07/30/2007
Last updated
11/18/2008
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