| NPI | 1487782983 |
|---|---|
| Doing Business As | KELLIWOOD FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEVEN C SPENCER President 281-398-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-01-19 |