Kellum, Keith Emery
Kellum, Keith Emery is an individual health care provider with primary practice located at 446 Corporate Drive , Houma LA 70360-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kellum, Keith Emery can be contacted via phone (985) 872-5577.Contact Information
Primary practice address
446 Corporate Drive
Houma LA 70360-3403
Phone: (985) 872-5577
Fax: (985) 868-4190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 022479 | Louisiana |
Profile Details
| NPI number | 1225036023 |
|---|---|
| LBN Legal business name | Kellum, Keith Emery |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225036023 | NPPES |
| Louisiana | MEDICAID | 1679640 |
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