Henry Paul Kellum in Destin - General Practice
Henry Paul Kellum - NPI 1780753673
Henry Paul Kellum is a General Practice in Destin, Florida. Henry Paul Kellum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Henry Paul Kellum is 1780753673. The last update date is 2007-07-08.
Henry Paul Kellum's current location address is 985 Airport Rd, Destin, Florida. You can contact this provider via phone number 8508376645. The mailing address for Henry Paul Kellum is 985 Airport Rd, Destin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry Paul Kellum |
|---|---|
| Address | 985 Airport Rd, Destin, Florida |
| Phone Number | 8508376645 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1780753673 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 985 Airport Rd |
|---|---|
| City | Destin |
| State | Florida (FL) |
| Post Code | 325412835 |
| Phone Number | 8508376645 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10931 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Henry Paul Kellum by the Centers for Medicare & Medicaid Services?
The Henry Paul Kellum has been issued the NPI (National Provider Identifier) 1780753673 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Henry Paul Kellum's facilities are situated?
The facilities of Henry Paul Kellum are physically located at the following address: 985 Airport Rd, Destin, FL, 325412835.
What is Henry Paul Kellum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Henry Paul Kellum is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780753673 to Henry Paul Kellum?
The Centers for Medicare & Medicaid Services assigned the 1780753673 to Henry Paul Kellum on 2006-11-07.
As of what date was the information regarding Henry Paul Kellum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Henry Paul Kellum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.