Provider Demographics
NPI:1366786394
Name:KELNER, MARGARET MARIE (FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:KELNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 HUNTER RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-5255
Mailing Address - Country:US
Mailing Address - Phone:512-396-7686
Mailing Address - Fax:512-396-8006
Practice Address - Street 1:2406 HUNTER RD
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5255
Practice Address - Country:US
Practice Address - Phone:512-396-7686
Practice Address - Fax:512-396-8006
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX544490363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily