Kellam, Mark E

Kellam, Mark E is an individual health care provider with primary practice located at 3131 Queen City Ave , Cincinnati OH 45238-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kellam, Mark E can be contacted via phone (513) 557-3333.

Contact Information

Primary practice address
3131 Queen City Ave Cincinnati OH 45238-2316
Phone: (513) 557-3333
Fax: (513) 557-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35076218 Ohio

Profile Details

NPI number 1356346449
LBN Legal business name Kellam, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356346449 NPPES
Indiana MEDICAID 200237920
Indiana MEDICAID 2126907
Indiana MEDICAID 64963408

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