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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306191879

Kelly Anne Averill, MD is a Student in an Organized Health Care Education/Training Program in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 358-5437
Fax: (210) 358-5483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence Q4892 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306191879
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2012
Last updated in NPPESSeptember 8, 2015

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