Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY MARCUM, NP
ActiveMR. KELLY MARCUM, NP is a Family Nurse Practitioner healthcare provider located in OVERGAARD, Arizona. NPI 1619973930 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · OVERGAARD, AZ
Registration Details
- NPI Number
- 1619973930
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (21.135706367207 yrs)
- Last Updated
- Dec 30, 2013
- License
-
RN036514 (AZ)
Practice Information
- Address
-
2931 S HWY 260OVERGAARD, AZ, 85933Browse AZ providers · Browse ZIP 85933
- Phone
- 9285363616
- Fax
- 9285363615
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in OVERGAARD, AZ
| Name | Credential | NPI |
|---|---|---|
| TIMOTHY R PENNISTON | FNP-C | 1144243692 |
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.