Kellum, Brandon John

Kellum, Brandon John is an individual health care provider with primary practice located at 230 E Marydale Ave , Soldotna AK 99669-7648. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kellum, Brandon John can be contacted via phone (907) 262-3119.

Contact Information

Primary practice address
230 E Marydale Ave Soldotna AK 99669-7648
Phone: (907) 262-3119
Fax: (907) 262-9290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 202907 Alaska

Profile Details

NPI number 1689411340
LBN Legal business name Kellum, Brandon John
Credentials DISPENSING OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2024
Last updated Jul 10th, 2024 - about 5 months 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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