Kellum, Michael J

Kellum, Michael J is an individual health care provider with primary practice located at W9575 Homburg Lane , Whitewater WI 53190. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kellum, Michael J can be contacted via phone (262) 473-0961.

Contact Information

Primary practice address
W9575 Homburg Lane Whitewater WI 53190
Phone: (262) 473-0961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36138-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 36138-020 Wisconsin

Profile Details

NPI number 1164599387
LBN Legal business name Kellum, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 24th, 2015 - about 9 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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