Provider Demographics
NPI:1407816135
Name:MORALES, KELLY J (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:J
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD, PA
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Mailing Address - Street 1:7707 EWING HALSELL #302
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-570-7277
Mailing Address - Fax:726-888-6260
Practice Address - Street 1:7707 EWING HALSELL #302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-570-7277
Practice Address - Fax:726-888-6260
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-25
Last Update Date:2022-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX01060213A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology