Kellum, Nicole Renee
Kellum, Nicole Renee is an sole proprietor health care provider with primary practice located at 531 E Lynwood St , Phoenix AZ 85004-1626. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Kellum, Nicole Renee can be contacted via phone (603) 660-8972.Contact Information
Primary practice address
531 E Lynwood St
Phoenix AZ 85004-1626
Phone: (603) 660-8972
Fax: (602) 626-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 09-1131 | Arizona |
Profile Details
| NPI number | 1043339468 |
|---|---|
| LBN Legal business name | Kellum, Nicole Renee |
| Credentials | N.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Aug 20th, 2013 - about 11 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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