Kellam, Stephen A
Kellam, Stephen A is an individual health care provider with primary practice located at 539 Harkle Rd Suite D, Santa Fe NM 87505-4782. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kellam, Stephen A can be contacted via phone (505) 982-5531.Contact Information
Primary practice address
539 Harkle Rd Suite D
Santa Fe NM 87505-4782
Phone: (505) 982-5531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DD-1798 | New Mexico |
Profile Details
| NPI number | 1609916378 |
|---|---|
| LBN Legal business name | Kellam, Stephen A |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Oct 31st, 2011 - about 13 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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