Kellam, Thomas
Kellam, Thomas is an individual health care provider with primary practice located at 272 Hospital Rd , Chillicothe OH 45601-9031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kellam, Thomas can be contacted via phone (740) 779-4598.Contact Information
Primary practice address
272 Hospital Rd
Chillicothe OH 45601-9031
Phone: (740) 779-4598
Fax: (740) 779-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 35.143319 | Ohio |
Profile Details
| NPI number | 1043745375 |
|---|---|
| LBN Legal business name | Kellam, Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2017 |
| Last updated | Sep 23rd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043745375 | NPPES |
| Ohio | MEDICAID | 0459528 |
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