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

WAUNEKA SHUNYELL KELLUM

Active Sole Proprietor

WAUNEKA SHUNYELL KELLUM is a Community/Behavioral Health healthcare provider located in BROOKLYN PARK, Minnesota. NPI 1821673518 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · BROOKLYN PARK, MN

Registration Details

NPI Number
1821673518
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2021 (5.235205813607 yrs)
Last Updated
Mar 14, 2021
License
1108075 (MN)
Sole Proprietor
Yes

Practice Information

Address
7940 SIERRA PKWY
BROOKLYN PARK, MN, 554441955
Browse MN providers · Browse ZIP 55444
Phone
7635873804
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in BROOKLYN PARK, MN

Name Credential NPI
KEYRIA ADEM 1376391953
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.