Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellum Medical Group, PA

Organization Family Medicine Physician · NPI 1508813494

Kellum Medical Group, PA is a Family Medicine Physician in San Antonio, Texas. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7323 Marbach Rd Ste 104
San Antonio, TX 78227-1905
Phone: (210) 674-0257
Fax: (210) 369-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1508813494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Braker — Contract Management · (210) 674-0257
NPI enumeratedMay 27, 2006
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address7323 Marbach Rd Ste 104, San Antonio, TX 78227-1905

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