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Contact Information

KEITH E KELLUM, MD
446 CORPORATE DRIVE
HOUMA, LA70360-3403
 Phone: 985-872-5577
 Fax: 985-868-4190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEITH E KELLUM · (Male)

NPI Number 1225036023
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 022479
  • LA Medicaid 1679640
Hospital affiliation(s)
  • DUKE UNIVERSITY HOSPITAL - (Acute Care)
    PO BOX 3708 DUMC ERWIN RD
    DURHAM, NC 27710
  • PHYSICIANS MEDICAL CENTER - (Acute Care)
    218 CORPORATE DRIVE
    HOUMA, LA 70360
  • TERREBONNE GENERAL MEDICAL CENTER - (Acute Care)
    8166 MAIN STREET
    HOUMA, LA 70360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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