Kellam, Michael

Kellam, Michael is an individual health care provider with primary practice located at 3487 Stockton Hill Rd , Kingman AZ 86409-3681. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kellam, Michael can be contacted via phone (928) 692-1822.

Contact Information

Primary practice address
3487 Stockton Hill Rd Kingman AZ 86409-3681
Phone: (928) 692-1822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S016382 Arizona

Profile Details

NPI number 1083944268
LBN Legal business name Kellam, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated Jan 11th, 2010 - about 14 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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