Stumbo, Keeli L

Stumbo, Keeli L is an individual health care provider with primary practice located at 1201 Hewitt Dr Ste 105B , Waco TX 76712-8833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Stumbo, Keeli L can be contacted via phone (254) 230-4225.

Contact Information

Primary practice address
1201 Hewitt Dr Ste 105B Waco TX 76712-8833
Phone: (254) 230-4225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X L1469 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L1469 Texas

Profile Details

NPI number 1790780468
LBN Legal business name Stumbo, Keeli L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790780468 NPPES
Texas MEDICAID 140921106

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