DR. JOHN HANSFORD KELLUM M.D. NPI 1255326989

NPI Information

  • NPI: 1255326989
  • Provider Name: DR. JOHN HANSFORD KELLUM, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3903 WISEMAN BLVD
    SUITE 215
    SAN ANTONIO, TX
    ZIP 78251
  • Phone: (210) 675-6724

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NPI Details

DR. John Hansford Kellum, M.D. is an obstetrics gynecology in San Antonio, TX with 36 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. John Hansford Kellum, M.D. NPI is 1255326989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3903 WISEMAN BLVD
SUITE 215
SAN ANTONIO, TX
ZIP 78251-401
Phone: (210) 675-6724
Fax: (210) 675-1759

The NPI 1255326989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 11/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyJ0844TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F74361MEDICARE UPINTEXAS
28198J2MEDICARE PINTEXAS
3115386801MEDICAIDTEXAS
4TXB150005MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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