Provider Demographics
NPI:1922255496
Name:KOHLLEPPEL, SHELLEY RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:RENEE
Last Name:KOHLLEPPEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:146 LAUREL VISTA DR
Mailing Address - Street 2:
Mailing Address - City:LAKEHILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78063-6389
Mailing Address - Country:US
Mailing Address - Phone:830-751-3330
Mailing Address - Fax:830-751-2829
Practice Address - Street 1:146 LAUREL VISTA DR
Practice Address - Street 2:
Practice Address - City:LAKEHILLS
Practice Address - State:TX
Practice Address - Zip Code:78063-6389
Practice Address - Country:US
Practice Address - Phone:830-751-3330
Practice Address - Fax:830-751-2829
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN3120207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine