Mccollum, Kelly
Mccollum, Kelly is an individual health care provider with primary practice located at 7506 Covington Hollow Ln , Fort Wayne IN 46804-6152. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mccollum, Kelly can be contacted via phone (405) 919-8142.Contact Information
Primary practice address
7506 Covington Hollow Ln
Fort Wayne IN 46804-6152
Phone: (405) 919-8142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT1754 | Oklahoma |
Profile Details
| NPI number | 1447783816 |
|---|---|
| LBN Legal business name | Mccollum, Kelly |
| Credentials | MSOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2017 |
| Last updated | Sep 20th, 2020 - about 4 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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