Kellum, Rebecca I

Kellum, Rebecca I is an individual health care provider with primary practice located at 1015 Gammon Ln , Madison WI 53719-2210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Kellum, Rebecca I can be contacted via phone (608) 417-8144.

Contact Information

Primary practice address
1015 Gammon Ln Madison WI 53719-2210
Phone: (608) 417-8144
Fax: (608) 260-6451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 49401-020 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49401-020 Wisconsin

Profile Details

NPI number 1992894372
LBN Legal business name Kellum, Rebecca I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 10th, 2024 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992894372 NPPES
Wisconsin MEDICAID 1992894372

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