Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J KELLUM, MD
ActiveDR. MICHAEL J KELLUM, MD is a Emergency Medicine healthcare provider located in WHITEWATER, Wisconsin. NPI 1164599387 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · WHITEWATER, WI
Registration Details
- NPI Number
- 1164599387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 30, 2006 (19.735825129531 yrs)
- Last Updated
- Jul 24, 2015
- Licenses
-
36138-020 (WI)36138-020 (WI)
Practice Information
- Address
-
W9575 HOMBURG LANEWHITEWATER, WI, 53190Browse WI providers · Browse ZIP 53190
- Phone
- 2624730961
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medical Services
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.