Simply Well Boutique Medicine

LBN: Kellcy Medical Group
Simply Well Boutique Medicine is an health care organization with primary practice located at 204 Camp Willow Rd , New Braunfels TX 78130-1805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kellcy Medical Group can be contacted via phone (830) 620-7744, or through Kelso, Teri via phone (830) 620-7744.

Contact Information

Primary practice address
204 Camp Willow Rd New Braunfels TX 78130-1805
Phone: (830) 620-7744
Fax: (830) 625-0353
Website:
Map and Directions
Authorized official contact:
Name: Kelso, Teri
Phone: (830) 620-7744

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1740022730
LBN Legal business name Kellcy Medical Group
DBA Doing business as Simply Well Boutique Medicine
Authorized official Kelso, Teri
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2024
Last updated Jun 19th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740022730 NPPES
Texas Other 1881813806 GROUP NPI

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