Kevin Ceballos

NPI #1114555190 in Georgetown, Texas

Provider Information

NPI Number: 1114555190
Entity Type: Individual
Name: Kevin Ceballos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Mar 27, 2020
Last Updated: Sep 13, 2023

Practice Location

Address: 105 WILDWOOD DR STE 105
City: Georgetown
State: Texas
ZIP Code: 78633-1344
Phone: (786) 423-5819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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