Dr. Keeli L Stumbo, M.D.
Obstetrics & Gynecology in Waco, TX. Individual provider (NPI-1).
NPI number1790780468
StatusActive
Last updated in NPPESMar 1, 2022
Details
- NPI
- 1790780468
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keeli L Stumbo
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Certification date
- Mar 1, 2022
- Last updated
- Mar 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L1469 | TX | Yes |
| 208VP0000X | L1469 | TX |
Practice location
1201 Hewitt Dr Ste 105bWaco, TX 76712-8833
Phone 254-230-4225
Mailing address
1201 Hewitt Dr Ste 105bWaco, TX 76712-8833
Phone 254-230-4225
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