DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIETTA KELLUM, RN

Active

MARIETTA KELLUM, RN is a Registered Nurse healthcare provider located in CARTERVILLE, Illinois. NPI 1770248759 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · CARTERVILLE, IL

Registration Details

NPI Number
1770248759
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2021 (4.7699656475001 yrs)
Last Updated
Nov 3, 2021
License
41.157902 (IL)

Practice Information

Address
14999 PACKER LN
CARTERVILLE, IL, 629183242
Browse IL providers · Browse ZIP 62918
Phone
6189678709
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in CARTERVILLE, IL

Name Credential NPI
TOMI WELSHON BSN,RN 1649993049
JODI BRADLEY ADN, RN 1003616095
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.