Alfred George Kellam in Ann Arbor - Clinical
Alfred George Kellam - NPI 1760547954
Alfred George Kellam is a Clinical in Ann Arbor, Michigan. Alfred George Kellam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Alfred George Kellam is 1760547954. The last update date is 2012-02-09.
Alfred George Kellam's current location address is 202 E Washington St, Ann Arbor, Michigan. You can contact this provider via phone number 7349961944. The mailing address for Alfred George Kellam is 202 E Washington St, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfred George Kellam |
|---|---|
| Address | 202 E Washington St, Ann Arbor, Michigan |
| Phone Number | 7349961944 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1760547954 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
| Address | 202 E Washington St |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481042017 |
| Phone Number | 7349961944 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301006080 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6301006080 | MI | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Alfred George Kellam by the Centers for Medicare & Medicaid Services?
The Alfred George Kellam has been issued the NPI (National Provider Identifier) 1760547954. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Alfred George Kellam is physically located?
The Alfred George Kellam is situated at the following address: 202 E Washington St, Ann Arbor, MI 481042017.
What is Alfred George Kellam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Alfred George Kellam is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Alfred George Kellam receive the assignment of its 1760547954 from the Centers for Medicare & Medicaid Services?
The Alfred George Kellam was issued its 1760547954 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details related to Alfred George Kellam most recently updated or revised?
The information pertaining to Alfred George Kellam, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-09.