Brian Kellum is a Geriatrics in Indianapolis, Indiana. Brian Kellum practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Brian Kellum is 1669699104. The last update date is 2007-07-08.
Brian Kellum's current location address is 6306 Silver Moon Ct, Indianapolis, Indiana. You can contact this provider via phone number 3178626717. The mailing address for Brian Kellum is 6306 Silver Moon Ct, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Kellum |
|---|---|
| Address | 6306 Silver Moon Ct, Indianapolis, Indiana |
| Phone Number | 3178626717 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1669699104 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6306 Silver Moon Ct |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462598749 |
| Phone Number | 3178626717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
| Licence No | 05006047A |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Brian Kellum?
The Brian Kellum has been issued the NPI (National Provider Identifier) 1669699104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brian Kellum's facilities are geographically located?
The facilities of Brian Kellum are physically situated at the following location: 6306 Silver Moon Ct, Indianapolis, IN, 462598749.
What is Brian Kellum'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 Brian Kellum is Geriatrics, and the taxonomy classification code that categorizes this area of expertise is 2251G0304X.
On what date did the Brian Kellum receive its 1669699104 assignment from the Centers for Medicare & Medicaid Services?
The Brian Kellum was assigned its 1669699104 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information regarding Brian Kellum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Kellum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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